Mir Dental Inc. | |
800 Jessup Rd Suite 805 Thorofare NJ 08086-9354 | |
(856) 845-4390 | |
(856) 845-5342 |
Full Name | Mir Dental Inc. |
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Speciality | Clinic/center - Dental |
Location | 800 Jessup Rd, Thorofare, New Jersey |
Authorized Official Name and Position | Michael Irwin Rouff (OWNER) |
Authorized Official Contact | 8568454390 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mir Dental Inc. 800 Jessup Rd Suite 805 Thorofare NJ 08086-9354 Ph: (856) 845-4390 | Mir Dental Inc. 800 Jessup Rd Suite 805 Thorofare NJ 08086-9354 Ph: (856) 845-4390 |
NPI Number | 1114072246 |
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Provider Enumeration Date | 01/25/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1114072246 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | 22DI01654300 (New Jersey) | Primary |