Individual
DR. BRENT A. HALLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
804 N MAIN ST, BOERNE, TX 78006-1626
(830) 249-8407
(830) 249-6217
Mailing address
804 N MAIN ST, BOERNE, TX 78006-1626
(830) 249-8407
(830) 249-6217
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17249
TX
Other
Enumeration date
05/30/2005
Last updated
07/08/2007
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