Individual provider · Type 1 NPI

Mira Egbaria, DDS

Student in an Organized Health Care Education/Training Program · Chicago, IL

NPI number 1083068910 Active

Practice location

201 E Huron St, Galter 2-246
Chicago, IL 60611-3197

Call (256) 503-5241 Map

Mailing address

2736 Muir Woods Dr SE
Owens Cross Roads, AL 35763-8615

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1083068910

Mira Egbaria, DDS's National Provider Identifier is 1083068910, issued on Apr 18, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Chicago, IL. The record was last updated on Apr 18, 2016.