Individual
DR. MIRANDA KRIVCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2175 WANTAGH AVE, WANTAGH, NY 11793-3972
(516) 409-4200
Mailing address
134 SUNKEN MEADOW RD, NORTHPORT, NY 11768-2527
(347) 209-4779
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
058600
NY
Other
Enumeration date
01/20/2017
Last updated
05/06/2025
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