| NPI | 1306402524 |
|---|---|
| Doing Business As | MIRACLE DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | IRINA FROLOV Owner/Dentist 267-882-7672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2019-05-13 |