Individual
TIMOTHY MICHAEL HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1301 N EPHRATA AVE, CONNELL, WA 99326-9601
(509) 543-5978
Mailing address
10504 S CLEARVIEW LN, KENNEWICK, WA 99338-2062
(317) 903-0245
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE61069483
WA
Other
Enumeration date
07/13/2015
Last updated
09/16/2021
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