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Organization
NORTHWEST DENTAL CARE
Active
Organization
NORTHWEST DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSALINDA MIRANDA MAURICIO D.D.S (DENTIST)
(559) 674-0927
Entity
Organization
Contact information
Practice address
2531 HOWARD RD, SUITE 103, MADERA, CA 93637-5040
(559) 674-0927
(559) 674-0595
Mailing address
2531 HOWARD RD, SUITE 103, MADERA, CA 93637-5040
(559) 674-0927
(559) 674-0595
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
46112
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G93100-01
DENTICAL
CA
Enumeration date
07/24/2014
Last updated
07/24/2014
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