Individual
DR. KRISTIN CAVANAH MIRDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
8061 SPYGLASS HILL RD, SUITE 101, MELBOURNE, FL 32940-8297
(321) 622-6255
(321) 622-6254
Mailing address
215 S MARCO WAY, SATELLITE BEACH, FL 32937-3453
(321) 266-2312
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN17649
FL
Other
Enumeration date
08/22/2006
Last updated
04/28/2010
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