Individual
MESHAEL MAIRZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
11229 W DODGE RD, OMAHA, NE 68154-2617
(402) 593-9911
(402) 593-0595
Mailing address
11229 W DODGE RD, OMAHA, NE 68154-2617
(402) 593-9911
(402) 593-0595
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6590
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100252051-00
—
NE
Enumeration date
11/06/2006
Last updated
07/08/2007
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