Individual
PRISCO HALILI MATRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DENTAL HYGIENIST
Contact information
Practice address
1339 NE BIG BERRY LOOP, OAK HARBOR, WA 98277-3510
(360) 969-6637
Mailing address
1339 NE BIG BERRY LOOP, OAK HARBOR, WA 98277-3510
(360) 969-6636
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
DH28287
FL
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
04/09/2021
Last updated
04/09/2021
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