| Hally Dental Llc | |
|
2600 Tayler St Edmond OK 73003-2134 | |
| (405) 844-6333 | |
| Not Available |
| Full Name | Hally Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2600 Tayler St, Edmond, Oklahoma |
| Authorized Official Name and Position | Korbin Deane Hally (DENTIST) |
| Authorized Official Contact | 4058446333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hally Dental Llc 2600 Tayler St Edmond OK 73003-2134 Ph: () - | Hally Dental Llc 2600 Tayler St Edmond OK 73003-2134 Ph: (405) 844-6333 |
| NPI Number | 1457089815 |
|---|---|
| Provider Enumeration Date | 08/12/2022 |
| Last Update Date | 08/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457089815 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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