Individual
SARAH ANN MIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
264 QUEEN ST, SOUTHINGTON, CT 06489-1901
(631) 897-2504
Mailing address
28 PEMBROKE HL, FARMINGTON, CT 06032-1461
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
13345
CT
1223P0221X
Pediatric Dentistry
16987
MD
1223P0221X
Pediatric Dentistry
DEN1002028
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1234
NO ISSUER
NY
01
—
NONE
NONE
—
Enumeration date
02/09/2017
Last updated
11/21/2023
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