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Individual

HALEY HANNABASS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1708 S PENINSULA DR, DAYTONA BEACH, FL 32118-4950
(386) 506-9337
Mailing address
1708 S PENINSULA DR, DAYTONA BEACH, FL 32118-4950

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
14271565-9926
UT
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DN31300
FL

Other

Enumeration date
03/13/2026
Last updated
03/13/2026
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