| Evelyn Miranda Halem, Dmd, Pa | |
|
1405 S Hiawassee Rd Ste C Orlando FL 32835-5786 | |
| (407) 294-6009 | |
| (407) 294-2722 |
| Full Name | Evelyn Miranda Halem, Dmd, Pa |
|---|---|
| Speciality | Dentist |
| Location | 1405 S Hiawassee Rd Ste C, Orlando, Florida |
| Authorized Official Name and Position | Evelyn Miranda Halem (PRESIDENT) |
| Authorized Official Contact | 4072946009 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evelyn Miranda Halem, Dmd, Pa 1405 S Hiawassee Rd Ste C Orlando FL 32835-5786 Ph: (407) 294-6009 | Evelyn Miranda Halem, Dmd, Pa 1405 S Hiawassee Rd Ste C Orlando FL 32835-5786 Ph: (407) 294-6009 |
| NPI Number | 1235264060 |
|---|---|
| Provider Enumeration Date | 02/22/2007 |
| Last Update Date | 03/18/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235264060 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 13516 (Florida) | Primary |
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