Jason Derek Miranda
Dental Assistant
5033 W Avenue L10 Apt 15
Lancaster
, California 93536-3681
Jason Derek Miranda
Dental Assistant
5033 W Avenue L10 Apt 15
Lancaster
, California 93536-3681
(661) 709-0637
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About
Features
Specialties
- Dental Assistant
Languages spoken
- English
Location
First Address
- Jason Derek Miranda
- 5033 W Avenue L10 Apt 15
- Lancaster, CA
- Zip : 93536-3681
- Phone : (661) 709-0637
Second Address
- Jason Derek Miranda
- 5033 W Avenue L10 Apt 15
- Lancaster, CA
- Zip : 93536-3681
- Phone : (661) 709-0637
Reviews
FAQs
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What type of doctor is Jason Derek Miranda
In what state does Jason Derek Miranda practice in?
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What is Jason Derek Miranda ’s gender?
Is Jason Derek Miranda a sole practitioner?
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Does Jason Derek Miranda offers telemedicine?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | RDA84892 | CA |
National Provider Identifier
| NPI | 1134616394 |
|---|---|
| Provider Name | Jason Derek Miranda |
| First Address | Lancaster, CA 93536-3681 |
| Second Address | Lancaster, CA 93536-3681 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/04/2018 |
| Last Update Date | 13/04/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.