Miranda Dental, Pllc | |
406 W Washington St Princeton KY 42445-1938 | |
(270) 365-7244 | |
(270) 365-7243 |
Full Name | Miranda Dental, Pllc |
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Speciality | Clinic/center - Dental |
Location | 406 W Washington St, Princeton, Kentucky |
Authorized Official Name and Position | Luis Felipe Miranda (OWNER) |
Authorized Official Contact | 2703657244 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Miranda Dental, Pllc 406 W Washington St Princeton KY 42445-1938 Ph: (270) 365-7244 | Miranda Dental, Pllc 406 W Washington St Princeton KY 42445-1938 Ph: (270) 365-7244 |
NPI Number | 1982319034 |
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Provider Enumeration Date | 01/23/2023 |
Last Update Date | 01/23/2023 |
Identifier | Type | State | Issuer |
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1982319034 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |