Mirage Dental Associates
Mirage Dental Associates provides General Practice Dentistry in Castle Rock, Colorado. Licensed in Colorado. Registered with an NPI since 2012.
- Licensed in
- CO
- In the registry since
- 2012
Practice location Address checks out
755 S Perry St Ste 200Castle Rock, CO 80104-1923
Phone: (720) 733-3440
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 7942 (CO) |
|---|
Record details
| NPI number | 1548516743 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michael Moroni — Dentist · (720) 733-3440 |
| NPI enumerated | July 25, 2012 |
| Last updated in NPPES | February 23, 2023 |
| Certification date | February 23, 2023 |
| Mailing address | 85 Rio Grande Dr., Castle Rock, CO 80104 |
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