Individual
MR. PASTOR ALFREDO MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
333 SAN MARCOS ST.#M, SAN GABRIEL, CA 91776
(213) 840-7496
Mailing address
333 SAN MANCOS ST.#M, SAN GABRIEL, CA 91776
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
44060
CA
Other
Enumeration date
01/20/2009
Last updated
01/20/2009
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