Individual
DR. LEO OTIS HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
4881 SUNSET BLVD, LEXINGTON, SC 29072-9152
(803) 359-7100
(803) 957-8774
Mailing address
4881 SUNSET BLVD, LEXINGTON, SC 29072-9152
(803) 359-7100
(803) 957-8774
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1933
SC
Other
Enumeration date
01/28/2006
Last updated
07/08/2007
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