Individual
DR. JACQUELINE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1201 TROY SCHENECTADY RD, LATHAM, NY 12110-1028
(518) 785-3084
(518) 785-0243
Mailing address
6 EXECUTIVE PARK DR, SUITE 6C, CLIFTON PARK, NY 12065-5601
(518) 348-0240
(518) 348-0248
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
033158-1
NY
Other
Enumeration date
11/21/2006
Last updated
07/13/2009
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