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
- City
- Rockville Centre
- State
- New York
- ZIP Code
- 11570
- Phone
- (516) 766-0580
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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