| Mirador Dental | |
|
894 E Warner Rd # B105 Gilbert AZ 85296-2935 | |
| (480) 471-8553 | |
| Not Available |
| Full Name | Mirador Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 894 E Warner Rd # B105, Gilbert, Arizona |
| Authorized Official Name and Position | Maria Fatima Lewis (OWNER) |
| Authorized Official Contact | 5102892261 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mirador Dental 216 W Jasper Dr Gilbert AZ 85233-8333 Ph: (510) 289-2261 | Mirador Dental 894 E Warner Rd # B105 Gilbert AZ 85296-2935 Ph: (480) 471-8553 |
| NPI Number | 1114406329 |
|---|---|
| Provider Enumeration Date | 08/08/2018 |
| Last Update Date | 08/08/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114406329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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