Individual
DR. PAULA A MIRANDA BUCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3601 NW 107TH AVE, DORAL, FL 33178
(786) 624-3672
Mailing address
3601 NW 107TH AVE, DORAL, FL 33178-4377
(786) 624-3672
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DN24006
FL
1223P0221X
Pediatric Dentistry
Primary
DN24006
FL
Other
Enumeration date
09/03/2012
Last updated
07/11/2019
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