Individual
DR. KELLY COMERFORD HALVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1001 BUCKINGHAM RD, #104, RICHARDSON, TX 75081
(972) 238-9626
Mailing address
1001 BUCKINGHAM RD, #104, RICHARDSON, TX 75081
(972) 238-9626
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
25105
TX
Other
Enumeration date
06/17/2010
Last updated
05/13/2018
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