Individual
JEAN HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2350 BROADHOLLOW RD, FARMINGDALE, NY 11735-1006
(934) 420-5442
Mailing address
2350 BROADHOLLOW RD, FARMINGDALE, NY 11735-1006
(934) 420-5442
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
019699
NY
Other
Enumeration date
11/09/2016
Last updated
11/22/2022
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