Individual
MISS LAWRENCE WILLIAM O'HALLORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3645 RHODE ISLAND AVE S, ST LOUIS PARK, MN 55426-4030
(952) 938-7628
Mailing address
3645 RHODE ISLAND AVE S, ST LOUIS PARK, MN 55426-4030
(952) 938-7628
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7585
MN
Other
Enumeration date
07/11/2006
Last updated
07/08/2007
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