Individual
KRISTEN HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12010 ETRIS RD, ROSWELL, GA 30075-1421
(770) 448-8882
Mailing address
1050 JORDAN LN, ALPHARETTA, GA 30004-6713
(404) 434-0702
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN014495
GA
Other
Enumeration date
03/20/2012
Last updated
03/03/2020
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