| NPI | 1265169197 |
|---|---|
| Doing Business As | HALL PERIODONTICS AND DENTAL IMPLANTS |
| Entity Type | Organization |
| Authorized Contact | JOHN C HALL President 231-946-2910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2022-08-02 |
| Last Update Date | 2022-08-02 |