Individual
MIRNA ELENA FLORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
15317 W BELL RD STE 108, SURPRISE, AZ 85374-3901
(877) 809-5092
(623) 214-5231
Mailing address
15317 W BELL RD STE 108, SURPRISE, AZ 85374-3901
(877) 809-5092
(623) 214-5231
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D011455
AZ
1223D0001X
Public Health Dentistry
Primary
D011455
AZ
1223G0001X
General Practice Dentistry
D011455
AZ
Other
Enumeration date
07/27/2022
Last updated
08/01/2022
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