# DESERT STAR DENTAL, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mirador Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114406329
- **Authorized official:** MARIA FATIMA LEWIS DMD (OWNER)
- **Authorized official phone:** (510) 289-2261

## Contact information

- **Practice address:** 894 E WARNER RD \# B105, GILBERT, AZ 85296-2935
- **Practice address phone:** (480) 471-8553
- **Mailing address:** 216 W JASPER DR, GILBERT, AZ 85233-8333
- **Mailing address phone:** (510) 289-2261

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/08/2018
- **Last updated:** 08/08/2018