DR. Miranda Ann Haefele, DDS

NPI #1104173517 in Casper, Wyoming

Provider Information

NPI Number: 1104173517
Entity Type: Individual
Name: DR. Miranda Ann Haefele, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Aug 6, 2012
Last Updated: Dec 1, 2016

Practice Location

Address: 2546 E 2ND ST
Address 2: #300
City: Casper
State: Wyoming
ZIP Code: 82609-2062
Phone: (307) 259-9286

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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