Individual
MICHAEL R HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1563 NW NEWPORT RD, BEND, OR 97701
(541) 389-0300
(541) 330-9753
Mailing address
1563 NW NEWPORT RD, BEND, OR 97701
(541) 389-0300
(541) 330-9753
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7488
OR
Other
Enumeration date
10/19/2006
Last updated
07/08/2007
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