Individual
DERRICK L HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDA
Contact information
Practice address
22800 LYONS AVE STE 200, NEWHALL, CA 91321-2898
(818) 237-8080
Mailing address
200 E AVENUE R APT 9102, PALMDALE, CA 93550-2611
(818) 237-8080
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
70848
CA
Other
Enumeration date
07/07/2020
Last updated
07/07/2020
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