Kenneth Bradley Hall DMD

NPI 1053358366 - Dentist - 122300000X

NPI Details
NPI 1053358366
Gender Male
Enumeration Date 06/02/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1459 LANEY WALKER BLVD
AD1501
AUGUSTA GA, 30912-0002, US
Phone (706) 721-0505
Fax (706) 721-6778
Business Location
1459 LANEY WALKER BLVD
AD1501
AUGUSTA GA, 30912-0002, US
Phone (706) 721-0505
Fax (706) 721-6778
Toxanomy
Taxonomy Code 122300000X
License State Georgia
License Number DN012753
Remove 1053358366 NPI Number
 

According to our database, Dr. Kenneth Bradley Hall DMD NPI is 1053358366, taxonomy code is 122300000X and license number is DN012753, license state is located at Georgia. Kenneth Bradley Hall DMD physically located at 1459 Laney Walker Blvd, Augusta GA, 30912-0002. NPI Number Kenneth Bradley Hall DMD has the Individual type.

Sponsored links

1053358366 NPI number is provided on an as is basis without warranty of any kind. 1053358366 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth Bradley Hall DMD are for informational purposes only.