Individual
DR. MIRA ANDRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
7851 W ODGEN AVE, LYONS, IL 60534-1320
(708) 442-1700
(708) 442-2222
Mailing address
7851 W. OGDEN AVE., LYONS, IL 60534
(708) 442-1700
(708) 442-2222
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019020207
IL
Other
Enumeration date
12/18/2008
Last updated
12/18/2008
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