Denise Vivian Halliburton DDS

NPI 1679704290 - Dentist - 122300000X

NPI Details
NPI 1679704290
Gender Female
Enumeration Date 07/30/2009
Last Updated 07/30/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
117 SAINT PATRICKS DR
WALDORF MD, 20603-4574, US
Phone (301) 870-4672
Fax
Business Location
5233 BROOK WAY
APT #5
COLUMBIA MD, 21044-1618, US
Phone (917) 687-0722
Fax
Toxanomy
Taxonomy Code 122300000X
License State DO Columbia
License Number DEN1000799
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According to our database, Dr. Denise Vivian Halliburton DDS NPI is 1679704290, taxonomy code is 122300000X and license number is DEN1000799, license state is located at DO Columbia. Denise Vivian Halliburton DDS physically located at 117 Saint Patricks Dr, Waldorf MD, 20603-4574. NPI Number Denise Vivian Halliburton DDS has the Individual type.

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1679704290 NPI number is provided on an as is basis without warranty of any kind. 1679704290 is maintained by the National Plan & Provider Enumeration System. The contents of Denise Vivian Halliburton DDS are for informational purposes only.