Individual provider · Type 1 NPI

Earl Lee Haller, DDS MS

Orthodontics and Dentofacial Orthopedics Dentistry · San Jose, CA

NPI number 1316014376 Active

Practice location

2145 Los Gatos Almaden Rd
San Jose, CA 95124

Fax (408) 377-6190

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X25532 (CA)
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X10132 (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.