DR. Malcolm Baker Miracle, D.M.D.

NPI #1124184056 in Florence, Kentucky

Provider Information

NPI Number: 1124184056
Entity Type: Individual
Name: DR. Malcolm Baker Miracle, D.M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.M.D.
Enumeration Date: Dec 28, 2006
Last Updated: May 4, 2020

Practice Location

Address: 7607 DIXIE HWY
City: Florence
State: Kentucky
ZIP Code: 41042-2644
Phone: (859) 655-6100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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