Philip James Mirise DDS

NPI 1245319151 - Dentist - 1223G0001X

NPI Details
NPI 1245319151
Gender Male
Enumeration Date 11/02/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
850 CEDAR LANE
FRANKLIN IN, 46131-1089, US
Phone (317) 736-7476
Fax (317) 736-1946
Business Location
850 CEDAR LANE
FRANKLIN IN, 46131-1089, US
Phone (317) 736-7476
Fax (317) 736-1946
Toxanomy
Taxonomy Code 1223G0001X
License State Indiana
License Number 12009980
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According to our database, Philip James Mirise DDS NPI is 1245319151, taxonomy code is 1223G0001X and license number is 12009980, license state is located at Indiana. Philip James Mirise DDS physically located at 850 Cedar Lane, Franklin IN, 46131-1089. NPI Number Philip James Mirise DDS has the Individual type.

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1245319151 NPI number is provided on an as is basis without warranty of any kind. 1245319151 is maintained by the National Plan & Provider Enumeration System. The contents of Philip James Mirise DDS are for informational purposes only.