Provider Demographics
NPI:1760621601
Name:INA, HALIM ANTONIO JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:HALIM
Middle Name:ANTONIO
Last Name:INA
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:544 WHITE POND DR
Mailing Address - Street 2:SUITE D
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44320-1141
Mailing Address - Country:US
Mailing Address - Phone:330-869-8100
Mailing Address - Fax:330-869-8156
Practice Address - Street 1:544 WHITE POND DR
Practice Address - Street 2:SUITE D
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44320-1141
Practice Address - Country:US
Practice Address - Phone:330-869-8100
Practice Address - Fax:330-869-8156
Is Sole Proprietor?:No
Enumeration Date:2009-02-17
Last Update Date:2009-02-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH208031223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics