DR. Denise Vivian Halliburton, DDS

NPI #1679704290 in Ellicott City, Maryland

Provider Information

NPI Number: 1679704290
Entity Type: Individual
Name: DR. Denise Vivian Halliburton, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jul 30, 2009
Last Updated: Mar 14, 2020

Practice Location

Address: 5096 DORSEY HALL DR STE 106
City: Ellicott City
State: Maryland
ZIP Code: 21042-7711
Phone: (917) 687-0722

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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