Individual
KRISTINA MICHELLE MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1845 HOLSONBACK DR, DAYTONA BEACH, FL 32117-5114
(386) 274-0500
Mailing address
1845 HOLSONBACK DR, DAYTONA BEACH, FL 32117-5114
(386) 274-0500
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH17321
FL
Other
Enumeration date
03/25/2020
Last updated
03/25/2020
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