Individual
DR. DALE RONALD HALLBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2222 E CEDAR AVE, FLAGSTAFF, AZ 86004-1988
(928) 774-4412
Mailing address
2222 E CEDAR AVE, FLAGSTAFF, AZ 86004-1988
(928) 774-4412
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3680
AZ
Other
Enumeration date
12/15/2006
Last updated
06/17/2020
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