IndividualActive
Sandra Miranda, DENTAL HYGIENIST
NPI 1982162657 · Dental Hygienist · Salt Lake City, UT
Provider details
- NPI number
- 1982162657
- Entity type
- Individual
- Primary specialty
- Dental HygienistDental Providers
- Credential
- DENTAL HYGIENIST
- Sex
- Female
- Sole proprietor
- No
- License
- 6781179-0701 (UT)
Practice location
1388 S Navajo St
Salt Lake City, UT 84104-3493
Phone: (019) 552-3608
Fax: (801) 746-0420
Mailing address
2621 S 3270 W
West Valley City, UT 84119-1119
Registry dates
- Enumerated
- 2019-03-12
- Last updated
- 2019-03-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.