Individual
ROBERT TERRY HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
815 N 6TH E, MOUNTAIN HOME, ID 83647-2207
(208) 587-7949
(208) 587-2978
Mailing address
815 N 6TH E, MOUNTAIN HOME, ID 83647-2207
(208) 587-7949
(208) 587-2978
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D3126
ID
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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