Provider Demographics
NPI:1962574368
Name:MIHALAKIS, MARY ELIZABETH (DMD)
Entity type:Individual
Prefix:DR
First Name:MARY ELIZABETH
Middle Name:
Last Name:MIHALAKIS
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5891 ALEXANDER RD
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18017-8770
Mailing Address - Country:US
Mailing Address - Phone:484-281-3109
Mailing Address - Fax:
Practice Address - Street 1:2933 LINDEN ST
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017-3233
Practice Address - Country:US
Practice Address - Phone:610-865-6999
Practice Address - Fax:610-865-1708
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS029858L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice