Individual
DR. MIRANDA ROSE HUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
6900 ALDEN DR, CHEYENNE, WY 82005-2945
(307) 773-1846
Mailing address
6900 ALDEN DR, CHEYENNE, WY 82005-2945
(307) 773-1846
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS043671
PA
Other
Enumeration date
07/08/2022
Last updated
08/09/2023
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