Individual
ROBERT WILLIAM HALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
143 E MAIN ST, JEROME, ID 83338-2332
(208) 324-7007
(208) 324-7540
Mailing address
143 E MAIN ST, JEROME, ID 83338-2332
(208) 324-7007
(208) 324-7540
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-4487
ID
Other
Enumeration date
05/28/2013
Last updated
05/28/2013
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