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NPI Code Detail

MEDICARE: DR. KIARA RAQUEL MIRO D.D.S

MEDICARE:  DR. KIARA RAQUEL MIRO  D.D.S
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryDN16786FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1427078625
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KIARA RAQUEL MIRO D.D.S
Provider Business Mailing Address
First Line : 780 NORTHWEST 42 AVENUE
Second Line : SUITE 526
City : MIAMI
State : FL
Zip : 33126
Country : US
Telephone Number : 305-442-7444
Fax Number :
Provider Business Practice Location Address
First Line : 780 NW 42ND AVE
Second Line : SUITE 526
City : MIAMI
State : FL
Zip : 33126-5540
Country : US
Telephone Number : 305-442-7444
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2006
Last Update Date : 07/08/2007

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Directions to “ DR. KIARA RAQUEL MIRO D.D.S” Practice Location

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