Individual
DR. DOMENICK HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
30021 GREENFIELD RD, SOUTHFIELD, MI 48076-1524
(248) 289-8624
Mailing address
30021 GREENFIELD RD, SOUTHFIELD, MI 48076-1524
(248) 289-8624
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901600457APP20
MI
Other
Enumeration date
05/03/2020
Last updated
05/03/2020
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