| NPI | 1043096159 |
|---|---|
| Doing Business As | STIVEN MITA DENTAL |
| Doing Business As | STIVEN MITA DMD |
| Doing Business As | MITA DENTAL |
| Entity Type | Organization |
| Authorized Contact | STIVEN MITA Dentist/Owner 267-977-4638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-09-05 |
| Last Update Date | 2023-09-05 |