Korbin Hally, DDS Valid NPI
Individual provider · General Practice Dentistry · Edmond, OK
- NPI
- 1154945202
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- T-7334 (OK)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2020-06-04
- Last updated
- 2020-06-04
Practice location
2600 Tayler Street
Edmond, OK 73003
(405) 844-6333