DR. Kenneth Bradley Hall, DMD

NPI #1053358366 in Watkinsville, Georgia

Provider Information

NPI Number: 1053358366
Entity Type: Individual
Name: DR. Kenneth Bradley Hall, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Jun 2, 2006
Last Updated: Dec 13, 2016

Practice Location

Address: 1360 CADUCEUS WAY
Address 2: BLDG 900 STE 101
City: Watkinsville
State: Georgia
ZIP Code: 30677-7300
Phone: (706) 543-3629

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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