Individual
KATIE BREEZE HEALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
17264 US HIGHWAY 441, MOUNT DORA, FL 32757-6712
(352) 735-2111
Mailing address
17264 US HIGHWAY 441, MOUNT DORA, FL 32757-6712
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
1052
FL
122300000X
Dentist
9424
NC
122300000X
Dentist
Primary
DN20304
FL
Other
Enumeration date
07/09/2012
Last updated
04/02/2015
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