Individual
DR. LOGAN BRODY HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
712 W MEADOW AVE, SPRINGDALE, AR 72764-4462
(479) 751-4609
Mailing address
152 N OKLAHOMA WAY, FAYETTEVILLE, AR 72701-4445
(479) 461-1804
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4177
AR
Other
Enumeration date
06/07/2017
Last updated
06/07/2017
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