| NPI | 1114406329 |
|---|---|
| Doing Business As | MIRADOR DENTAL |
| Entity Type | Organization |
| Authorized Contact | MARIA FATIMA LEWIS Owner 510-289-2261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2018-08-08 |