| NPI | 1174940761 |
|---|---|
| Doing Business As | IRA MIMS DDS, PA |
| Entity Type | Organization |
| Authorized Contact | IRA MIMS Dentist 972-436-0788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 29332) |
| Enumeration Date | 2014-03-21 |
| Last Update Date | 2014-05-07 |