Craig Mirkin D.D.S.

NPI 1003983677 - Dentist - 1223D0001X

NPI Details
NPI 1003983677
Gender Male
Enumeration Date 11/29/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
3415 28TH ST
PORT HURON MI, 48060-6931, US
Phone (810) 984-5197
Fax (810) 985-2150
Business Location
3415 28TH ST
PORT HURON MI, 48060-6931, US
Phone (810) 984-5197
Fax (810) 985-2150
Toxanomy
Taxonomy Code 1223D0001X
License State Michigan
License Number 2901011180
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According to our database, Craig Mirkin D.D.S. NPI is 1003983677, taxonomy code is 1223D0001X and license number is 2901011180, license state is located at Michigan. Craig Mirkin D.D.S. physically located at 3415 28th St, Port Huron MI, 48060-6931. NPI Number Craig Mirkin D.D.S. has the Individual type.

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1003983677 NPI number is provided on an as is basis without warranty of any kind. 1003983677 is maintained by the National Plan & Provider Enumeration System. The contents of Craig Mirkin D.D.S. are for informational purposes only.