SearchIllinoisGeneral Practice Dentistry

Taha Mirza, DDS

NPI 1982198354 · on the registry since 2018 · sole proprietor

Practice

Address
845 S Perryville Rd
Rockford, IL 61108
Phone
(779) 423-2135
Organisation at this address
Perryville Dentist Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
9

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-06-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois