Individual
DR. ROSANNE V MIRAKIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
600 PEMBERTON BROWNS MILLS ROAD, PEMBERTON, NJ 08060
(609) 894-1213
(609) 894-1219
Mailing address
PO BOX 52225, PHILADELPHIA, PA 19115-7225
(215) 880-5135
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2261900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0099490
—
NJ
Enumeration date
07/31/2006
Last updated
11/30/2015
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