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Kristina Michelle Miranda

Dental Hygienist in Daytona Beach, FL. Individual provider (NPI-1).

NPI number1164059663
StatusActive
Last updated in NPPESMar 25, 2020

Details

NPI
1164059663
Entity type
Individual (NPI-1)
Name
Kristina Michelle Miranda
Sex
Female
Sole proprietor
No
Enumeration date
Mar 25, 2020
Certification date
Mar 25, 2020
Last updated
Mar 25, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
124Q00000X Dental HygienistDH17321FLYes

Practice location

1845 Holsonback Dr
Daytona Beach, FL 32117-5114

Phone 386-274-0500

Mailing address

1845 Holsonback Dr
Daytona Beach, FL 32117-5114

Phone 386-274-0500

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