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Carol Halloran, DDS

Dentist in Waterloo, IA. Individual provider (NPI-1).

NPI number1407831746
StatusActive
Last updated in NPPESSep 27, 2012

Details

NPI
1407831746
Entity type
Individual (NPI-1)
Name
Carol Halloran
Credential
DDS
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 9, 2005
Last updated
Sep 27, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist07465IAYes

Practice location

1950 Plymouth Ave
Waterloo, IA 50702-3524

Phone 319-291-3908 · Fax 319-291-4077

Mailing address

1950 Plymouth Ave
Waterloo, IA 50702-3524

Phone 319-230-4554 · Fax 319-291-4077

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