United States Navy | |
Uss Dwight Eisenhower, Dental Fpo AE 09532 | |
(757) 445-3302 | |
Not Available |
Full Name | United States Navy |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | Uss Dwight Eisenhower, Dental, Fpo, Armed Forces Europe |
Authorized Official Name and Position | Sandra M Halterman (ORAL & MAXILLOFACIAL SURGEON) |
Authorized Official Contact | 7474453302 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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United States Navy Uss Dwight Eisenhower, Dental Fpo AE 09532 Ph: () - | United States Navy Uss Dwight Eisenhower, Dental Fpo AE 09532 Ph: (757) 445-3302 |
NPI Number | 1417001835 |
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Provider Enumeration Date | 01/23/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1417001835 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 30020312 (Ohio) | Primary |