Individual
DR. MYRIAM CARIDAD MIRAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D,
Contact information
Practice address
3312 CHAMBLEE TUCKER RD, ATLANTA, GA 30341-4353
(770) 455-8725
(770) 925-8795
Mailing address
3312 CHAMBLEE TUCKER RD, ATLANTA, GA 30341
(770) 455-8725
(770) 925-8795
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN009692
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00329227B
—
GA
Enumeration date
06/02/2006
Last updated
12/19/2012
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