Individual
DR. ANNIE MIRZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1421 N LEWIS AVE, WAUKEGAN, IL 60085-1757
(224) 419-7905
Mailing address
1421 N LEWIS AVE, WAUKEGAN, IL 60085-1757
(224) 419-7905
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.030553
IL
1223G0001X
General Practice Dentistry
Primary
31259
TX
Other
Enumeration date
07/26/2015
Last updated
04/02/2026
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