Individual
DR. LEANDRO MICHAEL LIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3505 VICKSBURG LN N, SUITE 1200, PLYMOUTH, MN 55447-1342
(763) 694-7500
Mailing address
3505 VICKSBURG LN N, SUITE 1200, PLYMOUTH, MN 55447-1342
(763) 694-7500
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D11302
MN
Other
Enumeration date
08/20/2006
Last updated
07/08/2007
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