Individual
DR. HAMZA USMAN MIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
12301 LAKE UNDERHILL RD STE 104, ORLANDO, FL 32828-4509
(407) 581-9515
Mailing address
420 E CHURCH ST UNIT 650, ORLANDO, FL 32801-2790
(407) 492-9312
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
19593
FL
122300000X
Dentist
2901021517
MI
1223E0200X
Endodontics
Primary
19593
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004423000
—
FL
Enumeration date
12/23/2011
Last updated
09/20/2019
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