Ilya B Mironov, D.D.S.
NPI #1912067604 in Burlington, Washington
Provider Information
- NPI Number
- 1912067604
- Entity Type
- Individual
- Name
- Ilya B Mironov, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - Dental Public Health
- Credential
- D.D.S.
- Enumeration Date
- Dec 11, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- OJH CLINIC NO 5 BURLINGTON FAMILY DENTISTRY
- Address 2
- 1250 S BURLINGTON BLVD
- City
- Burlington
- State
- Washington
- ZIP Code
- 98233
- Phone
- (360) 755-5600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Dental Public Health — Dental Public Health |
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