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Organization
MIRA CONSULTING, INCORPORATED
Active
Organization
MIRA CONSULTING, INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL E. MIRABAL (CEO)
(505) 898-2797
Entity
Organization
Contact information
Practice address
4100 HAWKINS ST NE STE A, ALBUQUERQUE, NM 87109-4531
(505) 898-2797
Mailing address
4100 HAWKINS ST NE STE A, ALBUQUERQUE, NM 87109-4531
(505) 898-2797
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
—
251K00000X
Public Health or Welfare Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
S2785
—
NM
Enumeration date
03/12/2007
Last updated
09/11/2025
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