| Alvin C. Miranda, D.d.s, P.a. | |
|
200 Thomas St Bel Air MD 21014-3634 | |
| (410) 420-9705 | |
| Not Available |
| Full Name | Alvin C. Miranda, D.d.s, P.a. |
|---|---|
| Speciality | Dentist |
| Location | 200 Thomas St, Bel Air, Maryland |
| Authorized Official Name and Position | Alvin Christopher Miranda (OWNER) |
| Authorized Official Contact | 4104209705 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alvin C. Miranda, D.d.s, P.a. 200 Thomas St Bel Air MD 21014-3634 Ph: (410) 420-9705 | Alvin C. Miranda, D.d.s, P.a. 200 Thomas St Bel Air MD 21014-3634 Ph: (410) 420-9705 |
| NPI Number | 1194191619 |
|---|---|
| Provider Enumeration Date | 08/19/2015 |
| Last Update Date | 08/19/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194191619 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 13020 (Maryland) | Primary |
| 122300000X | Dentist | 15773 (Maryland) | Secondary |
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