| NPI | 1811155351 |
|---|---|
| Former Name | JUDITH CORINNE HALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AK 1265) |
| Additional Taxonomies | 122300000X Dentist (Licence: AK 1265) |
| 1223G0001X Dentist, General Practice (Licence: IN 12011166A) | |
| Enumeration Date | 2008-05-31 |
| Last Update Date | 2018-04-06 |