Individual
DR. ROBERT GLENN HALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6325 TOPANGA CANYON BLVD, STE 435, WOODLAND HILLS, CA 91367-2046
(818) 999-0900
(818) 999-6927
Mailing address
6325 TOPANGA CANYON BLVD, STE 435, WOODLAND HILLS, CA 91367-2046
(818) 999-0900
(818) 999-6927
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
29601
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
9431
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B29601-01
DENTI-CAL
CA
01
—
D29601
MEDICARE PROVIDER
CA
Enumeration date
04/04/2006
Last updated
11/21/2016
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