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Individual
DR. VANCE PATRICK HALL
Active
Individual
DR. VANCE PATRICK HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
11029187-9924
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
04/15/2015
Last updated
06/25/2019
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