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Individual
DR. DANIEL HALL
Active
Individual
DR. DANIEL HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
0442000362
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0442000362
TEMPORARY RESIDENT DENTAL LICENSE IN VIRGINIA
VA
Enumeration date
07/26/2019
Last updated
09/30/2019
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