Individual
DR. BRADLEY ALAN HALVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1933 S CHEKSHANI CLF, NEW HARMONY, UT 84757-5136
(435) 867-6190
Mailing address
1933 S CHEKSHANI CLF, NEW HARMONY, UT 84757-5136
(435) 867-6190
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3100748-9922
UT
Other
Enumeration date
10/31/2006
Last updated
08/10/2007
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