Individual
THOMAS HALLQUIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2163 W 9TH AVE, OSHKOSH, WI 54904-8043
(920) 235-6070
(920) 235-5668
Mailing address
2163 W 9TH AVE, OSHKOSH, WI 54904-8043
(920) 235-6070
(920) 235-5668
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2675-015
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33424200
—
WI
Enumeration date
07/25/2006
Last updated
07/08/2007
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