| NPI | 1013102037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES T HALL Dentist Owner 304-525-6441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WV WV3628) |
| Additional Taxonomies | 122300000X Dentist (Licence: WV WV2543) |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2019-07-19 |