Organization
HALVORSON & HEMBROUGH D.D.S, .M.S., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHERINE KLUNGLE (OFFICE MANAGER)
(616) 361-6609
Entity
Organization
Contact information
Practice address
4355 SAWKAW DR NE, GRAND RAPIDS, MI 49525-1768
(616) 361-6609
(616) 361-6248
Mailing address
4355 SAWKAW DR NE, GRAND RAPIDS, MI 49525-1768
(616) 361-6609
(616) 361-6248
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
07/16/2006
Last updated
10/05/2007
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