Individual
DR. MIRANDA PETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
N56W14044 SILVER SPRING DR # 101, MENOMONEE FALLS, WI 53051-5933
(262) 373-1850
Mailing address
615 W CLAIREMONT AVE STE 120, EAU CLAIRE, WI 54701-6223
(715) 833-6271
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
1001831-15
WI
1223G0001X
General Practice Dentistry
Primary
1001831
WI
Other
Enumeration date
01/29/2019
Last updated
09/07/2021
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