Organization
HALL DENTAL LLC
Active
Other names
Gordon Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAITLYN HALL DDS (DENTIST)
(253) 988-6454
Entity
Organization
Contact information
Practice address
5901 NW 63RD TER STE 150, KANSAS CITY, MO 64151-3602
(253) 988-6454
Mailing address
8305 NE WITT RD, CAMERON, MO 64429-8028
(253) 988-6454
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/12/2019
Last updated
08/12/2019
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