Individual
DR. WILLIE G. HALL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
12164 CENTRAL AVE, SUITE 221, MITCHELLVILLE, MD 20721-1944
(301) 249-8885
(301) 249-0761
Mailing address
12164 CENTRAL AVE, SUITE 221, MITCHELLVILLE, MD 20721-1944
(301) 249-8885
(301) 249-0761
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7119
MD
Other
Enumeration date
11/14/2006
Last updated
10/20/2013
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