Individual provider · NPI-1
Milad Chirco
Dentist · Mount Clemens, MI
NPI number1861706962
StatusActive
Last updated in NPPESOct 27, 2016
Details
- NPI
- 1861706962
- Entity type
- Individual (NPI-1)
- Name
- Milad Chirco
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 30, 2010
- Last updated
- Oct 27, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 2901020270 | MI | Yes |
Practice location
233 Southbound Gratiot AveMount Clemens, MI 48043-2413
Phone 586-783-8383
Mailing address
233 Southbound Gratiot AveMount Clemens, MI 48043-2413
Phone 586-783-8383
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