NPI | 1376725754 |
---|---|
Former Name | AMYE S HALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MS 3421) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MS 3421-07) |
Enumeration Date | 2007-11-28 |
Last Update Date | 2014-07-14 |