Individual
DR. DENISE VIVIAN HALLIBURTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5096 DORSEY HALL DR STE 106, ELLICOTT CITY, MD 21042-7711
(917) 687-0722
Mailing address
5096 DORSEY HALL DR STE 106, ELLICOTT CITY, MD 21042-7711
(917) 687-0722
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14397
MD
122300000X
Dentist
DEN1000799
DC
Other
Enumeration date
07/30/2009
Last updated
03/14/2020
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