Individual
DR. ROBERT M MIRER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
483 MIDDLE TPKE W, MANCHESTER, CT 06040-3863
(860) 643-9519
Mailing address
483 MIDDLE TPKE W, MANCHESTER, CT 06040-3863
(860) 643-9519
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
CT4452
CT
Other
Enumeration date
06/12/2007
Last updated
07/08/2007
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