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Individual

DR. JAMES WILLIAM HALLIDAY JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
908 HIGHLAND AVE STE 2, KENAI, AK 99611-8051
(907) 283-0454
(907) 283-0456
Mailing address
908 HIGHLAND AVE STE 1, KENAI, AK 99611-8051
(907) 283-0454
(907) 283-0456

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1148
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
DD9411
AK
Enumeration date
03/01/2007
Last updated
08/18/2010
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