Individual
HALLE BENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
38865 DEQUINDRE RD STE 105, TROY, MI 48083
(248) 879-7755
Mailing address
15055 ALMONT RD, ALLENTON, MI 48002-3011
(810) 751-3881
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902018529
MI
Other
Enumeration date
08/29/2018
Last updated
09/11/2018
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