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1003382490
MIREYA E IMITOLA ORTA
DALLAS, TX
NPI
1003382490
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223P0700X Dentist, Prosthodontics
(Licence: TX 34534)
Enumeration Date
2018-10-23
Last Update Date
2018-10-23
Business Address
MIREYA E IMITOLA ORTA
2305 CEDAR SPRINGS RD
DALLAS, TX 75201-1854
Phone number: 214-969-1000
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Mailing Address
MIREYA E IMITOLA ORTA
2820 GOLDEN MEADOW AVE
MESQUITE, TX 75181-2147
Phone number: 972-310-1172
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