| NPI | 1821610395 |
|---|---|
| Doing Business As | MIRAGE DENTAL ARTS |
| Entity Type | Organization |
| Authorized Contact | KATHERINE LORENZO SIRAGE Owner 786-223-9795 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-05-07 |
| Last Update Date | 2020-10-13 |