Corliss Kelly Hales RDH

NPI 1578834792 - Dental Hygienist - 124Q00000X

NPI Details
NPI 1578834792
Gender Female
Enumeration Date 01/19/2012
Last Updated 01/19/2012
Entity Type Individual
Active Over 5 years ago
Practice Location
15182 N. 75TH AVE
PEORIA AZ, 85381, US
Phone (623) 878-2400
Business Location
15182 N. 75TH AVE.
PEORIA AZ, 85381, US
Phone (623) 878-2400
Taxonomy Code 124Q00000X
License State Oregon
License Number H3927
Remove 1578834792 NPI Number

According to our database, Corliss Kelly Hales RDH NPI is 1578834792, taxonomy code is 124Q00000X and license number is H3927, license state is located at Oregon. Corliss Kelly Hales RDH physically located at 15182 N. 75th Ave, Peoria AZ, 85381. NPI Number Corliss Kelly Hales RDH has the Individual type.

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1578834792 NPI number is provided on an as is basis without warranty of any kind. 1578834792 is maintained by the National Plan & Provider Enumeration System. The contents of Corliss Kelly Hales RDH are for informational purposes only.