Individual
MATTHEW HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
301 PROSPECT AVE, DEPARTMENT OF MEDICAL EDUCATION, SYRACUSE, NY 13203-1807
(315) 448-5469
(315) 448-6314
Mailing address
301 PROSPECT AVE, DEPARTMENT OF MEDICAL EDUCATION, SYRACUSE, NY 13203-1807
(315) 448-5469
(315) 448-6314
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
042537
NY
Other
Enumeration date
10/17/2006
Last updated
08/11/2011
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