Leandro Michael Lira D.D.S.

NPI 1073628186 - Dentist - 122300000X

NPI Details
NPI 1073628186
Gender Male
Enumeration Date 08/20/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
3505 VICKSBURG LN N
SUITE 1200
PLYMOUTH MN, 55447-1342, US
Phone (763) 694-7500
Fax
Business Location
3505 VICKSBURG LN N
SUITE 1200
PLYMOUTH MN, 55447-1342, US
Phone (763) 694-7500
Fax
Toxanomy
Taxonomy Code 122300000X
License State Minnesota
License Number D11302
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According to our database, Dr. Leandro Michael Lira D.D.S. NPI is 1073628186, taxonomy code is 122300000X and license number is D11302, license state is located at Minnesota. Leandro Michael Lira D.D.S. physically located at 3505 Vicksburg Ln N, Plymouth MN, 55447-1342. NPI Number Leandro Michael Lira D.D.S. has the Individual type.

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1073628186 NPI number is provided on an as is basis without warranty of any kind. 1073628186 is maintained by the National Plan & Provider Enumeration System. The contents of Leandro Michael Lira D.D.S. are for informational purposes only.