Individual
NICOLE ANGELA HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
7170 W CAMINO SAN XAVIER # 101, GLENDALE, AZ 85308-0833
(623) 594-2057
Mailing address
5219 N 24TH ST APT 207, PHOENIX, AZ 85016-3570
(406) 212-8896
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D009764
AZ
Other
Enumeration date
06/13/2017
Last updated
06/13/2017
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