| A Mirai Dental Corporation | |
|
140 S Fairmont Blvd Anaheim Hills CA 92808-1336 | |
| (714) 974-0054 | |
| Not Available |
| Full Name | A Mirai Dental Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 140 S Fairmont Blvd, Anaheim Hills, California |
| Authorized Official Name and Position | Sonia Vargas (OFFICE MANAGER) |
| Authorized Official Contact | 7149740054 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Mirai Dental Corporation 140 S Fairmont Blvd Anaheim Hills CA 92808-1336 Ph: (714) 974-0054 | A Mirai Dental Corporation 140 S Fairmont Blvd Anaheim Hills CA 92808-1336 Ph: (714) 974-0054 |
| NPI Number | 1831996461 |
|---|---|
| Provider Enumeration Date | 03/01/2025 |
| Last Update Date | 03/10/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831996461 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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Maruko Orthodontics Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 South Fairmont Blvd, Anaheim Hills, CA 92808 Phone: 714-685-3890 Fax: 714-685-3895 |