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1699266866
BRENT HALE
MEDFORD, OR
NPI
1699266866
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: IN 12012920A)
Additional Taxonomies
122300000X Dentist
(Licence: OR D11232)
Enumeration Date
2018-05-23
Last Update Date
2021-05-08
Business Address
Dr. BRENT HALE DDS
980 N PHOENIX RD STE 101
MEDFORD, OR 97504-9447
Phone number: 541-335-1441
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Mailing Address
Dr. BRENT HALE DDS
980 N PHOENIX RD STE 101
MEDFORD, OR 97504-9447
Phone number: 541-774-3928
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