Clark, Miranda
Clark, Miranda is an individual health care provider with primary practice located at 1735 S Public Rd Ste 100 , Lafayette CO 80026-7093. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Clark, Miranda can be contacted via phone (303) 665-9310.Contact Information
Primary practice address
1735 S Public Rd Ste 100
Lafayette CO 80026-7093
Phone: (303) 665-9310
Fax: (303) 665-3397
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | DH.002025174 | Colorado |
Profile Details
| NPI number | 1639658859 |
|---|---|
| LBN Legal business name | Clark, Miranda |
| Credentials | Registered Dental Hygienist (RDH) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 8th, 2018 |
| Last updated | May 19th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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