Individual
MRS. MIRANDA LYNN LOMMEN-MIELKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3333 BURNET AVE # MLC2006, CINCINNATI, OH 45229-3026
(513) 636-4644
Mailing address
3333 BURNET AVE. ML 2006, CINCINNATI, OH 45229-3026
(513) 636-4641
(513) 636-8283
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30.026386
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2020
Last updated
07/28/2021
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