Individual
METHAWEE HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13869 W BELL RD STE 103, SURPRISE, AZ 85374-2468
(162) 358-4401
Mailing address
9366 W DONALD DR, PEORIA, AZ 85383-2984
(843) 647-8127
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D011378
AZ
Other
Enumeration date
06/01/2022
Last updated
06/01/2022
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