Individual
MRS. ANJALI T. MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
959 BRUSH HOLLOW ROAD, SUITE 104, WESTBURY, NY 11590
(516) 333-1552
Mailing address
959 BRUSH HOLLOW ROAD, SUITE 104, WESTBURY, NY 11590
(516) 333-1552
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
049470
NY
Other
Enumeration date
11/26/2013
Last updated
11/26/2013
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