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
—
—
Other
Enumeration date
08/08/2018
Last updated
08/08/2018
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