DR. Mira Andre, DDS

NPI #1215173471 in Lyons, Illinois

Provider Information

NPI Number: 1215173471
Entity Type: Individual
Name: DR. Mira Andre, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Dec 18, 2008
Last Updated: Dec 18, 2008

Practice Location

Address: 7851 W ODGEN AVE
City: Lyons
State: Illinois
ZIP Code: 60534-1320
Phone: (708) 442-1700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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