Individual provider · Type 1 NPI
Earl Lee Haller, DDS MS
Orthodontics and Dentofacial Orthopedics Dentistry · San Jose, CA
Practice location
2145 Los Gatos Almaden Rd
San Jose, CA 95124
Fax (408) 377-6190
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 25532 (CA) |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 10132 (MI) |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
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About NPI 1316014376
Earl Lee Haller, DDS MS's National Provider Identifier is 1316014376, issued on Nov 28, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in San Jose, CA. The record was last updated on Jul 8, 2007.