Individual
YARITZA MIRANDA-RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
1100 LONG POND RD, SUITE 115, GREECE, NY 14626-1177
(585) 225-7790
Mailing address
4453 CHESTNUT RIDGE RD, APT. #1, AMHERST, NY 14228-3246
(716) 228-0181
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
051791-1
NY
Other
Enumeration date
03/05/2008
Last updated
03/05/2008
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