Individual
DR. DIANE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1749 D INDEPENDENCE, CAPE GIRARDEAU, MO 63703-5919
(573) 335-6854
(573) 335-9864
Mailing address
1749 D INDEPENDENCE, CAPE GIRARDEAU, MO 63703-5919
(573) 335-6854
(573) 335-9864
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
015479
MO
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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