Healthcare Provider Details

I. General information

NPI: 1871669598
Provider Name (Legal Business Name): CHRISTINE HOULE ALOI DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/27/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8429 WOODSBORO PIKE
WALKERSVILLE MD
21793
US

IV. Provider business mailing address

8429 WOODSBORO PIKE
WALKERSVILLE MD
21793
US

V. Phone/Fax

Practice location:
  • Phone: 301-898-7181
  • Fax: 301-845-4202
Mailing address:
  • Phone: 301-898-7181
  • Fax: 301-845-4202

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number10455
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: