Individual
HANNA IVALHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
6780 BERRYHILL ST, MILTON, FL 32570-4789
(850) 623-2294
Mailing address
800 SPRING CREEK BLVD APT 7204, CRESTVIEW, FL 32536-5188
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN22717
FL
Other
Enumeration date
07/11/2017
Last updated
07/11/2017
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