Most Relevant Information
Provider Data
| NPI Number: | 1003513540 |
| Provider Name: | HAYLEY JAMES WIDNER |
| Entity Type: | Individual |
| Taxonomy Code: | 124Q00000X |
| Specialty: | Dental Hygienist |
| License Number: | 12494 |
Most Important Dates
| Enumeration Date: | 02/15/2023 |
| Last Updated: | 02/15/2023 |
Provider Practice Location
3D DENTAL BATTALION, 3D MLG
UNIT 38450
FPO
AP
96373
Practice Location Phone/Fax
| Phone: | 3156453406 |
| Fax: |
Provider Mailing Location
3D DENTAL BATTALION, 3D MLG
UNIT 38450
FPO
AP
96373
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |