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Organization
THERESE SINGSON MIRANDA DDS PC
Active
Organization
THERESE SINGSON MIRANDA DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LOU ANN ZERGER (MANAGER)
(210) 661-4211
Entity
Organization
Contact information
Practice address
5975 FM 78, SUITE 100, SAN ANTONIO, TX 78244-1003
(210) 661-4211
Mailing address
5975 FM 78, SUITE 100, SAN ANTONIO, TX 78244-1003
(210) 661-4211
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
25501
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447570510
NPI TYPE 1-INDIVIDUAL
TX
Enumeration date
12/07/2011
Last updated
12/07/2011
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