Individual
HELENE MARIE HALEY-CORSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1590 NW 10TH AVE, SUITE 403, BOCA RATON, FL 33486-1313
(561) 395-7088
(561) 395-3482
Mailing address
4229 INTRACOASTAL DR, HIGHLAND BEACH, FL 33487-4209
(561) 272-3611
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN 12704
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN 12704
STATE OF FLORIDA LICENSE
FL
Enumeration date
12/20/2006
Last updated
07/08/2007
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