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Organization
MIRACLE DENTAL ASSOCIATES
Active
Organization
MIRACLE DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTANY LAUREN KINOL (OWNER)
(412) 538-0010
Entity
Organization
Contact information
Practice address
6071 WALLACE ROAD EXT, WEXFORD, PA 15090-7316
(412) 538-0010
Mailing address
6071 WALLACE ROAD EXT, WEXFORD, PA 15090-7316
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DSO36402
PA
Other
Enumeration date
04/10/2013
Last updated
03/17/2025
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