| Mirage Dental Associates | |
|
755 S Perry St Ste 200 Castle Rock CO 80104-1923 | |
| (720) 733-3440 | |
| Not Available |
| Full Name | Mirage Dental Associates |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 755 S Perry St Ste 200, Castle Rock, Colorado |
| Authorized Official Name and Position | Michael John Moroni (DENTIST) |
| Authorized Official Contact | 7207333440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mirage Dental Associates 85 Rio Grande Dr. Castle Rock CO 80104 Ph: (720) 733-3440 | Mirage Dental Associates 755 S Perry St Ste 200 Castle Rock CO 80104-1923 Ph: (720) 733-3440 |
| NPI Number | 1548516743 |
|---|---|
| Provider Enumeration Date | 07/25/2012 |
| Last Update Date | 02/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548516743 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7942 (Colorado) | Primary |
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