Dr. Leandro Michael Lira, D.D.S.
Dentist in Plymouth, MN. Individual provider (NPI-1).
NPI number1073628186
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1073628186
- Entity type
- Individual (NPI-1)
- Name
- Dr. Leandro Michael Lira
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 20, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | D11302 | MN | Yes |
Practice location
3505 Vicksburg Ln NSuite 1200
Plymouth, MN 55447-1342
Phone 763-694-7500
Mailing address
3505 Vicksburg Ln NSuite 1200
Plymouth, MN 55447-1342
Phone 763-694-7500
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