Provider Demographics
NPI:1083203939
Name:BURTON, HALIMA HUSSEIN (DH21516)
Entity Type:Individual
Prefix:
First Name:HALIMA
Middle Name:HUSSEIN
Last Name:BURTON
Suffix:
Gender:F
Credentials:DH21516
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3219 RODNEY ST
Mailing Address - Street 2:
Mailing Address - City:ROSAMOND
Mailing Address - State:CA
Mailing Address - Zip Code:93560-6331
Mailing Address - Country:US
Mailing Address - Phone:661-429-9063
Mailing Address - Fax:
Practice Address - Street 1:3219 RODNEY ST
Practice Address - Street 2:
Practice Address - City:ROSAMOND
Practice Address - State:CA
Practice Address - Zip Code:93560-6331
Practice Address - Country:US
Practice Address - Phone:661-429-9063
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-14
Last Update Date:2021-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDH21516124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist