Individual
DR. MALATHI SHIRLEY MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BDS, CAGS, MSCD
Contact information
Practice address
3302 GASTON AVE, # 711, DALLAS, TX 75246-2013
(214) 828-8446
(214) 874-4555
Mailing address
3302 GASTON AVE, # 711, DALLAS, TX 75246-2013
(214) 828-8446
(214) 874-4555
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
F-25446
TX
1223P0221X
Pediatric Dentistry
F-25446
TX
Other
Enumeration date
10/21/2011
Last updated
10/21/2011
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