Individual
DR. MIRANDA RHIA CORNEJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
417 RIDGE RD STE A, MUNSTER, IN 46321-1571
(219) 552-7674
Mailing address
417 RIDGE RD STE A, MUNSTER, IN 46321-1571
(219) 315-0769
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12014437A
IN
Other
Enumeration date
05/29/2024
Last updated
06/10/2024
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