Individual
DR. IRA LYLE MINESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1010 MERRICK AVE, NORTH MERRICK, NY 11566-1030
(516) 483-2298
(516) 748-3226
Mailing address
1010 MERRICK AVE, NORTH MERRICK, NY 11566-1030
(516) 483-2298
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
31793
NY
Other
Enumeration date
07/20/2006
Last updated
07/08/2007
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