Individual
MARZIA MIR I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7470 DARQUE WAY, ELK GROVE, CA 95757-1800
(408) 679-9750
Mailing address
7470 DARQUE WAY, ELK GROVE, CA 95757-1800
(408) 679-9750
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
RDA12345
CA
Other
Enumeration date
04/03/2026
Last updated
04/03/2026
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