NPI | 1073052825 |
---|---|
Other Name | LORENZO MIRANDA |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN23249) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2017-02-13 |
Last Update Date | 2020-01-30 |