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Organization
ROSALINDA MIRANDA-MAURICIO DDS A DENTAL CORP
Active
Organization
ROSALINDA MIRANDA-MAURICIO DDS A DENTAL CORP
Active
Parent organization
NORTHWEST DENTAL CARE
Other names
NorthWest Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHWEST DENTAL CARE
Authorized official
DR. ROSALINDA MIRANDA MAURICIO DDS (PRESIDENT)
(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
1223G0001X
General Practice Dentistry
Primary
46112
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1922371509
NPI
CA
01
—
G9310001
DENTICAL
CA
Enumeration date
02/14/2012
Last updated
02/14/2012
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