Individual
DR. BRENT EDWARD HALE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2901 WILSHIRE BLVD STE 301, SANTA MONICA, CA 90403-4906
(310) 453-9631
(310) 453-1564
Mailing address
2901 WILSHIRE BLVD STE 301, SANTA MONICA, CA 90403-4906
(310) 453-9631
(310) 453-1564
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DL 034110
CA
Other
Enumeration date
09/25/2007
Last updated
09/25/2007
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