Ann Khazzandra Miranda
Dentist in Livermore, CA. Individual provider (NPI-1).
NPI number1598840407
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1598840407
- Entity type
- Individual (NPI-1)
- Name
- Ann Khazzandra Miranda
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 26, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 50388 | CA | Yes |
Practice location
4432 Las Positas RdLivermore, CA 94551-9529
Phone 925-724-2422
Mailing address
2656 Melbourne WaySan Ramon, CA 94582-5768
Phone 510-673-6707
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