Individual
ELIZABETH HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2921 5TH AVE NE, SUITE 110, PUYALLUP, WA 98372-7044
(253) 841-3173
Mailing address
6636 ELIZABETH LOOP SE, AUBURN, WA 98092-8215
(253) 833-0634
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9965
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5047048
—
WA
Enumeration date
03/28/2007
Last updated
07/08/2007
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