Mirus Oral Health & Esthetic, LLC

NPI #1033518154 in Roselle, Illinois

Provider Information

NPI Number: 1033518154
Entity Type: Organization
Organization Name: Mirus Oral Health & Esthetic, LLC
Primary Specialty: Dentist
Enumeration Date: Aug 14, 2014
Last Updated: Jun 11, 2019

Practice Location

Address: 1530 LAKE ST
City: Roselle
State: Illinois
ZIP Code: 60172-3330
Phone: (630) 529-0900

Authorized Official

Name: SYED REHMAN, DDS
Title: PRESIDENT/OWNER
Phone: (847) 915-2827

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X
Dentist	122300000X	Primary

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