OrganizationActive
Randall W. Halliday, D.D.S., Inc.
NPI 1457562993 · Oral and Maxillofacial Pathology Dentistry · San Bernardino, CA
Provider details
- NPI number
- 1457562993
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Pathology DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Randall Halliday, President(909) 886-6845
- License
- 22609 (CA)
Specialties & taxonomies
Dental Providers
Practice location
1697 N Waterman Ave
San Bernardino, CA 92404-5112
Phone: (909) 886-6845
Fax: (909) 882-9804
Approximate (ZIP-level) locationGet directions
Mailing address
1697 N Waterman Ave
San Bernardino, CA 92404-5112
Registry dates
- Enumerated
- 2007-05-25
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.