Individual
HOLLY CHANG HAYDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE61193243
WA
1223G0001X
General Practice Dentistry
DN1858416
MA
Other
Enumeration date
06/27/2019
Last updated
10/25/2022
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