Individual
DR. MIRANDA OKUBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
7369 S CREEK RD, SANDY, UT 84093-6154
(801) 566-5577
Mailing address
7369 S CREEK RD, SANDY, UT 84093-6154
(801) 566-5577
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
89605139923
UT
Other
Enumeration date
07/09/2013
Last updated
07/15/2014
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