Individual
MIRAN HO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3440 E BASELINE RD STE 106, MESA, AZ 85204-7247
(480) 926-2350
Mailing address
3440 E BASELINE RD STE 106, MESA, AZ 85204-7247
(480) 926-2350
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D008566
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D008566
DENTAL LICENSE
AZ
Enumeration date
08/24/2012
Last updated
08/24/2012
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