Organization
MIREYA ORTEGA DDS INC.
Active
Other names
High Sierra Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIREYA ORTEGA D.D.S. (PRESIDENT)
(530) 541-7040
Entity
Organization
Contact information
Practice address
1060 SKI RUN BLVD, SOUTH LAKE TAHOE, CA 96150-7478
(530) 541-7040
(530) 541-3429
Mailing address
1060 SKI RUN BLVD, SOUTH LAKE TAHOE, CA 96150-7478
(530) 541-7040
(530) 541-3429
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
35530
CA
Other
Enumeration date
12/16/2008
Last updated
12/16/2008
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