Most Relevant Information
Provider Data
| NPI Number: | 1003820903 |
| Provider Name: | MIRIAM NOSRATI DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 5705 |
Most Important Dates
| Enumeration Date: | 07/28/2006 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
1900 E 15TH ST
BUILDING 700A
EDMOND
OK
730136610
Practice Location Phone/Fax
| Phone: | 4052858880 |
| Fax: | 4052858881 |
Provider Mailing Location
1900 E 15TH ST
BUILDING 700A
EDMOND
OK
730136610
Provider Mailing Phone/Fax
| Phone: | 4052858880 |
| Fax: | 4052858881 |