NPI 1083296107

Allyson L Hardaway, RDH

Practitioner Dental Hygienist Shreveport, LA

Practice location

Address: 510 E Stoner Ave, Shreveport, LA 71101-4243
Phone: (318) 221-8411

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 4243 (LA)

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Registry record

NPI: 1083296107
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Apr 2021
Record last updated: 27 Apr 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.