Individual
ERIC ALLEN HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
650 HUEBNER RD, FORT RILEY, KS 66442-4030
(785) 239-1765
Mailing address
650 HUEBNER RD, FORT RILEY, KS 66442-4030
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
30-02-0436
OH
122300000X
Dentist
8059
KY
1223P0700X
Prosthodontics
30-02-0436
OH
1223P0700X
Prosthodontics
Primary
8059
KY
Other
Enumeration date
03/24/2022
Last updated
08/09/2023
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