| Mirage Dental Arts | |
|
8688 Sw 72 St Miami FL 33143 | |
| (305) 482-3559 | |
| Not Available |
| Full Name | Mirage Dental Arts |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8688 Sw 72 St, Miami, Florida |
| Authorized Official Name and Position | Katherine Lorenzo Sirage (OWNER) |
| Authorized Official Contact | 7862239795 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mirage Dental Arts 8688 Sunset Drive Miami FL 33143 Ph: (305) 482-3559 | Mirage Dental Arts 8688 Sw 72 St Miami FL 33143 Ph: (305) 482-3559 |
| NPI Number | 1821610395 |
|---|---|
| Provider Enumeration Date | 05/07/2020 |
| Last Update Date | 10/13/2020 |
| Certification Date | 10/12/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821610395 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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