Individual
HAROLD TIMOTHY HALL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
351 MAIN ST, WINSTON, OR 97496-9503
(541) 679-8732
Mailing address
134 W BERDINE ST, ROSEBURG, OR 97470-2201
(541) 672-6305
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D5338
OR
Other
Enumeration date
08/22/2005
Last updated
07/08/2007
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