Organization
TERESA HALL DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA HALL DDS (OWNER)
(916) 772-6248
Entity
Organization
Contact information
Practice address
953 PLEASANT GROVE BLVD, STE 140, ROSEVILLE, CA 95678-6150
(916) 772-6248
Mailing address
953 PLEASANT GROVE BLVD, STE 140, ROSEVILLE, CA 95678-6150
(916) 772-6248
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
07/14/2016
Last updated
07/14/2016
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