Organization
ALVIN C. MIRANDA, D.D.S, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALVIN CHRISTOPHER MIRANDA DDS (OWNER)
(410) 420-9705
Entity
Organization
Contact information
Practice address
200 THOMAS ST, BEL AIR, MD 21014-3634
(410) 420-9705
Mailing address
200 THOMAS ST, BEL AIR, MD 21014-3634
(410) 420-9705
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13020
MD
122300000X
Dentist
15773
MD
Other
Enumeration date
08/19/2015
Last updated
08/19/2015
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