CARLOS J MIRO

KENOSHA, WI
NPI1386626554
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WI  4641-015)
Enumeration Date2005-11-15
Last Update Date2021-04-05
Business Address
CARLOS J MIRO DDS
4536 22ND AVE
KENOSHA, WI 53140-5917
Phone number: 262-656-0044
Mailing Address
CARLOS J MIRO DDS
821 S 57TH ST
WEST ALLIS, WI 53214-3333
Phone number: 414-302-9468
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