MEDICARE: MIRELA GIURGIU DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	10101	CO
2	122300000X	Dentist	DN18921	FL

General Provider Information

NPI Number	:	1285956219
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MIRELA GIURGIU DDS

Provider Business Mailing Address
First Line	:	9123 E MISSISSIPPI AVE APT 12-104
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80247-6878
Country	:	US
Telephone Number	:	954-822-9132
Fax Number	:

Provider Business Practice Location Address
First Line	:	1420 OGDEN ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80218-2892
Country	:	US
Telephone Number	:	303-863-0772
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/18/2010
Last Update Date	:	02/18/2010

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