Individual
DR. JOSEPH G MIRCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MAGD
Contact information
Practice address
2090 E 2100 S, SALT LAKE CITY, UT 84109-1100
(801) 487-3836
(801) 487-7210
Mailing address
2090 E 2100 S, SALT LAKE CITY, UT 84109-1100
(801) 487-3836
(801) 487-7210
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
83-140890-992
UT
Other
Enumeration date
07/22/2006
Last updated
07/08/2007
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