Organization
A. LAVAR HALL D.D.S., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONE LAVAR HALL D.D.S. (PRESIDENT)
(937) 981-3184
Entity
Organization
Contact information
Practice address
526 JEFFERSON ST, GREENFIELD, OH 45123-1356
(937) 981-3184
Mailing address
526 JEFFERSON ST, GREENFIELD, OH 45123-1356
(937) 981-3184
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14762
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0368678
—
OH
Enumeration date
08/05/2008
Last updated
08/05/2008
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