| NPI | 1720246325 |
|---|---|
| Doing Business As | HALL STREET FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | JENNI TOMLINSON Credentialing Specialist 864-582-5915 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: SC 2881) |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2024-03-04 |