Individual
LAWRENCE HALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
701 S INDIANA AVE STE A, ENGLEWOOD, FL 34223
(941) 475-3962
(941) 473-1398
Mailing address
701 S INDIANA AVE STE A, ENGLEWOOD, FL 34223-3764
(941) 475-3962
(941) 473-1398
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN15980
FL
Other
Enumeration date
11/01/2013
Last updated
04/15/2019
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