Individual
HALI HOUSEHOLDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH, OMT, BSPH
Contact information
Practice address
3697 WALNUT HILL CT, GREENWOOD, IN 46142-7603
(317) 919-0116
Mailing address
3697 WALNUT HILL CT, GREENWOOD, IN 46142-7603
(317) 919-0116
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
13007283A
IN
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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