Individual
DR. ALEXIS MIERZWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
650 CEDAR CREEK GRADE, SUITE 211, WINCHESTER, VA 22601-6452
(540) 486-5111
(540) 486-5112
Mailing address
181 HAMMACK LN, WINCHESTER, VA 22602-1602
(716) 308-7030
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401412114
VA
122300000X
Dentist
052401
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02738663
—
NY
Enumeration date
11/17/2006
Last updated
08/10/2015
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