DR. Richard M. Mirra, DDS

NPI #1578668349 in Rockville Centre, New York

Provider Information

NPI Number
1578668349
Entity Type
Individual
Name
DR. Richard M. Mirra, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Credential
DDS
Enumeration Date
Sep 14, 2006
Last Updated
Sep 7, 2011

Practice Location

Address
24 MAPLE AVE
Address 2
SUITE 6
ZIP Code
11570
Phone
(516) 766-0580

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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