Individual
LUCINDA JANE HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
4019 W 12600 S STE 100, RIVERTON, UT 84096-7402
(801) 253-8633
Mailing address
4019 W 12600 S STE 100, RIVERTON, UT 84096-7402
(801) 253-8633
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
57663
CA
1223G0001X
General Practice Dentistry
Primary
10391199
UT
Other
Enumeration date
08/24/2009
Last updated
10/31/2017
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