| Miranda Dental, Pllc | |
|
406 W Washington St Princeton KY 42445-1938 | |
| (270) 365-7244 | |
| (270) 365-7243 |
| Full Name | Miranda Dental, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 406 W Washington St, Princeton, Kentucky |
| Authorized Official Name and Position | Luis Felipe Miranda (OWNER) |
| Authorized Official Contact | 2703657244 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Miranda Dental, Pllc 406 W Washington St Princeton KY 42445-1938 Ph: (270) 365-7244 | Miranda Dental, Pllc 406 W Washington St Princeton KY 42445-1938 Ph: (270) 365-7244 |
| NPI Number | 1982319034 |
|---|---|
| Provider Enumeration Date | 01/23/2023 |
| Last Update Date | 01/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982319034 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |