Individual
DR. KEVIN ALLAN HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1841 BROAD ST, HARTFORD, CT 06114-1780
(860) 278-4163
(860) 278-5995
Mailing address
PO BOX 2094, HARTFORD, CT 06145-2094
(860) 278-4163
(860) 278-5995
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
007780
CT
Other
Enumeration date
05/29/2008
Last updated
05/29/2008
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