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Organization
DESERT STAR DENTAL, PLLC
Active
Organization
DESERT STAR DENTAL, PLLC
Active
Other names
Mirador Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA FATIMA LEWIS DMD (OWNER)
(510) 289-2261
Entity
Organization
Contact information
Practice address
894 E WARNER RD # B105, GILBERT, AZ 85296-2935
(480) 471-8553
Mailing address
216 W JASPER DR, GILBERT, AZ 85233-8333
(510) 289-2261
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
08/08/2018
Last updated
08/08/2018
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