| Douglas R Halloran Dds Inc | |
|
1100 W Shaw Ave Ste 146 Fresno CA 93711-3708 | |
| (559) 224-9925 | |
| (559) 224-4478 |
| Full Name | Douglas R Halloran Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 1100 W Shaw Ave, Fresno, California |
| Authorized Official Name and Position | Douglas Ray Halloran (PRESIDENT) |
| Authorized Official Contact | 5592249925 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas R Halloran Dds Inc 1100 W Shaw Ave Ste 146 Fresno CA 93711-3708 Ph: (559) 224-9925 | Douglas R Halloran Dds Inc 1100 W Shaw Ave Ste 146 Fresno CA 93711-3708 Ph: (559) 224-9925 |
| NPI Number | 1386631349 |
|---|---|
| Provider Enumeration Date | 10/04/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386631349 | NPI | - | NPPES |
| B43532 01 | Other | CA | DENTI CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 43532 (California) | Primary |
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