Corliss Kelly Hales, RDH

NPI #1578834792 in Peoria, Arizona

Provider Information

NPI Number: 1578834792
Entity Type: Individual
Name: Corliss Kelly Hales, RDH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Credential: RDH
Enumeration Date: Jan 19, 2012
Last Updated: Jan 19, 2012

Practice Location

Address: 15182 N. 75TH AVE
City: Peoria
State: Arizona
ZIP Code: 85381
Phone: (623) 878-2400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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