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Organization
MIRANDA & ORTEGA D.M.D., PA
Active
Organization
MIRANDA & ORTEGA D.M.D., PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEJANDRO MIRANDA-KNAPP D.M.D. (PRESIDENT)
(386) 428-2958
Entity
Organization
Contact information
Practice address
1298 N DIXIE FWY, NEW SMYRNA BEACH, FL 32168-6006
(386) 428-2958
(386) 426-6590
Mailing address
1298 N DIXIE FWY, NEW SMYRNA BEACH, FL 32168-6006
(386) 428-2958
(386) 426-6590
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN15720
FL
Other
Enumeration date
10/16/2006
Last updated
07/21/2022
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