MEDICARE: MS. AJA HWA HALL DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	54676	CA
2	122300000X	Dentist	54676	CA

General Provider Information

NPI Number	:	1528182433
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. AJA HWA HALL DDS

Provider Business Mailing Address
First Line	:	450 SUTTER ST RM 2633
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94108-4211
Country	:	US
Telephone Number	:	415-676-7052
Fax Number	:

Provider Business Practice Location Address
First Line	:	450 SUTTER ST RM 2633
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94108-4211
Country	:	US
Telephone Number	:	415-676-7052
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/17/2007
Last Update Date	:	12/12/2013

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