MIRROR IMAGE DENTAL LLC

PHOENIX, AZ
NPI1891594016
Entity TypeOrganization
Authorized ContactSHAWN MICHAEL MAULE
CEO / Owner Dentist
602-705-9168
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2025-03-11
Last Update Date2025-03-11
Business Address
MIRROR IMAGE DENTAL LLC
4710 E CACTUS RD
PHOENIX, AZ 85032-7706
Phone number: 480-442-0225
Mailing Address
MIRROR IMAGE DENTAL LLC
1601 E POTTER DR
PHOENIX, AZ 85024-4334
Phone number: 602-705-9168
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