Edward Mirzoian, DMD
General Dentistry · Manchester, CT
UnclaimedDMDNPI 1851827828
- Primary taxonomy
- 122300000X
- Enumerated
- 2017-05-11
- Practice location
- Manchester, CT
- Last NPPES update
- 2020-07-01
State licenses
- CT · Dentist · DentistActivethrough 2027
- CT · Dentist · Resident DentistInactivethrough 2018
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.