Individual
DR. MARIE C MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 EASTERN BLVD, BALTIMORE, MD 21221-6921
(410) 574-2454
Mailing address
301 EASTERN BLVD, BALTIMORE, MD 21221-6921
(410) 574-2454
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11018
MD
Other
Enumeration date
08/10/2006
Last updated
07/08/2007
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