| NPI | 1992197016 |
|---|---|
| Other Name | EL MIRAGE DENTAL EXCELLENCE |
| Entity Type | Organization |
| Authorized Contact | DAN NYDEGGER Owner 623-882-1400 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: AZ D5540) |
| Enumeration Date | 2015-02-26 |
| Last Update Date | 2015-02-26 |