Individual
DR. ROBERT RICHARD HALVORSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
504 WASHINGTON AVE, SANDERSVILLE, GA 31082-1981
(478) 552-6266
(478) 552-6009
Mailing address
925 WINDMILL LN, EVANS, GA 30809-6609
(706) 868-1548
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11547
GA
Other
Enumeration date
11/09/2006
Last updated
07/08/2007
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