Individual
JENNIFER ANN HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH, QOM
Contact information
Practice address
7290 W SUN RIDGE CIR, WASILLA, AK 99623
(907) 205-0088
Mailing address
7362 W PARKS HWY # 606, WASILLA, AK 99623-9300
(907) 205-0088
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2206
AK
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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