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David
David
Hall
Dental
Winter Park, United States
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Florida Health Care Practitioner Data Portal
Full name
DAVID HALL
Job Title
Dental
Location
Winter Park, FL, USA
LIC ID
17870
Current License Expiration Date
28/02/2026
Original Date
14/02/2020
Professional Rank Code
DN
Effective Date
14/02/2020
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
ORANGE
Practice Location Address Line 1
610 N. MILLS AVENUE
Practice Location Address Line 2
SUITE 100
Practice Location Address City
ORLANDO
Practice Location Address State
FL
Practice Location Address Zipcode
32803
Mode Code
General/Deep Sedation
Prescribing Indicator
N
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