Individual
DR. LIDA MIRZAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4610 CAMP ST, NEW ORLEANS, LA 70115-2835
(615) 638-1989
Mailing address
908 LAKESHORE RDG, BIRMINGHAM, AL 35211-6957
(615) 638-1989
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
7592
LA
Other
Enumeration date
03/26/2018
Last updated
07/18/2024
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