Organization · Type 2 NPI
Mirror Image Dental LLC
Dental Clinic/Center · Phoenix, AZ
NPI number
1891594016
Active
Practice location
4710 E Cactus Rd
Phoenix, AZ 85032-7706
Mailing address
1601 E Potter Dr
Phoenix, AZ 85024-4334
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
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About NPI 1891594016
Mirror Image Dental LLC's National Provider Identifier is 1891594016, issued on Mar 11, 2025. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Phoenix, AZ. The record was last updated on Mar 11, 2025.