Organization
MIR DENTAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL IRWIN ROUFF D.M.D. (OWNER)
(856) 845-4390
Entity
Organization
Contact information
Practice address
800 JESSUP RD, SUITE 805, THOROFARE, NJ 08086-9354
(856) 845-4390
(856) 845-5342
Mailing address
800 JESSUP RD, SUITE 805, THOROFARE, NJ 08086-9354
(856) 845-4390
(856) 845-5342
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
22DI01654300
NJ
Other
Enumeration date
01/25/2007
Last updated
08/22/2020
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