Individual
DR. ENBORG BECKER HALLE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1791 OAK AVE, SUITE B, DAVIS, CA 95616-1073
(530) 753-4530
Mailing address
1791 OAK AVE, SUITE B, DAVIS, CA 95616-1073
(530) 753-4530
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
22226
CA
Other
Enumeration date
09/21/2005
Last updated
07/08/2007
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