Organization · Type 2 NPI

Muzaffar Mirza

Dental Clinic/Center · Chicago, IL

NPI number 1407022536 Active

Practice location

4501 S State St
Chicago, IL 60609-3758

Call (773) 548-0600 Map

Fax (773) 548-0740

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000X019019459 (IL)

Dental Clinic/Center: Definition to come...

12 other providers at this address

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About NPI 1407022536

Muzaffar Mirza's National Provider Identifier is 1407022536, issued on May 8, 2008. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Chicago, IL. The record was last updated on Apr 7, 2014.