Individual
MRS. MONICA HALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
651 W 168TH ST, NEW YORK, NY 10032-3703
(212) 740-1780
Mailing address
233 W 134TH ST, NEW YORK, NY 10030-3026
(212) 740-1780
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
015699-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015699-1
—
NY
Enumeration date
10/02/2006
Last updated
07/09/2007
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