Individual
DR. MARTIN TIMOTHY HALLREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1104 HILLCREST DR, WOODWARD, OK 73801-3028
(580) 256-3144
(580) 256-1922
Mailing address
1104 HILLCREST DR, WOODWARD, OK 73801-3028
(580) 256-3144
(580) 256-1922
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4414
OK
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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