Provider Demographics
NPI:1477873826
Name:ASINMAZ, MIHRAN ARIS (DMD)
Entity Type:Individual
Prefix:DR
First Name:MIHRAN
Middle Name:ARIS
Last Name:ASINMAZ
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:470 COLUMBIA DR
Mailing Address - Street 2:SUITE D-101
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409-1997
Mailing Address - Country:US
Mailing Address - Phone:561-640-9200
Mailing Address - Fax:561-640-9204
Practice Address - Street 1:470 COLUMBIA DR
Practice Address - Street 2:SUITE D-101
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-1997
Practice Address - Country:US
Practice Address - Phone:561-640-9200
Practice Address - Fax:561-640-9204
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-08
Last Update Date:2013-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN188591223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice