Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ILYA B MIRONOV, D.D.S.
ActiveDental Public Health · BURLINGTON, WA
Registration Details
- NPI Number
- 1912067604
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 11, 2006 (19.360812389656 yrs)
- Last Updated
- Jul 8, 2007
- License
-
DE 00010565 (WA)
Practice Information
- Address
-
OJH CLINIC NO 5 BURLINGTON FAMILY DENTISTRY1250 S BURLINGTON BLVDBURLINGTON, WA, 98233Browse WA providers · Browse ZIP 98233
- Phone
- 3607555600
- Primary Specialty
-
Dental Public Health
1223D0001X
Other Dental Public Health Providers in BURLINGTON, WA
| Name | Credential | NPI |
|---|---|---|
| DR. JOSEPH ROBERT EIDSNESS | DDS | 1033763800 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.