Individual
DR. EDWARD MIRZOIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
179 DEMING ST STE A, MANCHESTER, CT 06042-7131
(860) 644-6500
Mailing address
1021 MAPLE AVE, HARTFORD, CT 06114-2733
(860) 977-9966
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12798
CT
Other
Enumeration date
05/11/2017
Last updated
07/01/2020
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