Organization
WILLIAM G HALLIDAY III DDS PLC
Active
Other names
Restoration Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM G HALLIDAY III D.D.S. (OWNER)
(410) 258-4539
Entity
Organization
Contact information
Practice address
4910 E GREENWAY RD, SUITE 7, SCOTTSDALE, AZ 85254-1653
(602) 992-2996
Mailing address
4910 E GREENWAY RD, SUITE 7, SCOTTSDALE, AZ 85254-1653
(602) 992-2996
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7424
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274502
—
AZ
Enumeration date
07/29/2014
Last updated
07/29/2014
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