Mironov, Ilya B

Mironov, Ilya B is an individual health care provider with primary practice located at Ojh Clinic No 5 Burlington Family Dentistry 1250 S Burlington Blvd, Burlington WA 98233. He recently has only one registered license in Dental Providers / Dental Public Health, which is considered as his primary health care specialty. Mironov, Ilya B can be contacted via phone (360) 755-5600.

Contact Information

Primary practice address
Ojh Clinic No 5 Burlington Family Dentistry 1250 S Burlington Blvd Burlington WA 98233
Phone: (360) 755-5600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Public Health 1223D0001X DE 00010565 Washington

Profile Details

NPI number 1912067604
LBN Legal business name Mironov, Ilya B
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers