NPI 1164059663

Kristina Michelle Miranda

Practitioner Dental Hygienist Daytona Beach, FL

Practice location

Address: 1845 Holsonback Dr, Daytona Beach, FL 32117-5114
Phone: (386) 274-0500

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence DH17321 (FL)

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Registry record

NPI: 1164059663
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Mar 2020
Record last updated: 25 Mar 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.