Halliburton Family Dentistry
NPI #1063048742 in Ellicott City, Maryland
Provider Information
- NPI Number
- 1063048742
- Entity Type
- Organization
- Organization Name
- Halliburton Family Dentistry
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 13, 2020
- Last Updated
- Mar 13, 2020
Practice Location
- Address
- 5096 DORSEY HALL DR STE 106
- City
- Ellicott City
- State
- Maryland
- ZIP Code
- 21042-7711
- Phone
- (917) 687-0722
Authorized Official
- Name
- DENISE VIVIAN HALLIBURTON, DDS
- Title
- OWNER
- Phone
- (917) 687-0722
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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