Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | 47732 | CA |
NPI | 1003032632 |
---|---|
Provider Name | David Brian Hull |
First Address | Sacramento, CA 95825-1388 |
Second Address | Sacramento, CA 95825-1388 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2007 |
Last Update Date | 08/07/2007 |