Individual
DR. HANNAH GRACE HOUGHTALING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
13700 N US HIGHWAY 441, LADY LAKE, FL 32159-8980
(352) 259-0822
Mailing address
809 DEKLEVA DR, APOPKA, FL 32712-1724
(269) 317-8852
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN27430
FL
Other
Enumeration date
08/29/2022
Last updated
08/29/2022
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