| NPI | 1417001835 |
|---|---|
| Other Name | UNITED STATES NAVY |
| Entity Type | Organization |
| Authorized Contact | SANDRA M HALTERMAN Oral & Maxillofacial Surgeon 747-445-3302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: OH 30020312) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2020-08-22 |