Organization · Type 2 NPI

Mira Mesa Dental & Orthodontic Office

General Practice Dentistry · San Diego, CA

NPI number 1124104336 Active

About NPI 1124104336

Mira Mesa Dental & Orthodontic Office's National Provider Identifier is 1124104336, issued on Oct 31, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in San Diego, CA. The record was last updated on Aug 22, 2020.