Individual
ANA KAREN ZAVALA MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
82204 US HIGHWAY 111, INDIO, CA 92201-5630
(760) 775-5552
Mailing address
82204 US HIGHWAY 111, INDIO, CA 92201-5630
(760) 775-5552
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
101213
CA
Other
Enumeration date
03/08/2017
Last updated
03/08/2017
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