Mirage Ambulatory Surgery Center, INC
NPI #1154644193 in Rancho Mirage, California
Provider Information
- NPI Number
- 1154644193
- Entity Type
- Organization
- Organization Name
- Mirage Ambulatory Surgery Center, INC
- Primary Specialty
- Clinic/Center - Oral and Maxillofacial Surgery
- Enumeration Date
- Mar 4, 2010
- Last Updated
- Mar 4, 2010
Practice Location
- Address
- 39935 VISTA DEL SOL
- Address 2
- SUITE 102
- City
- Rancho Mirage
- State
- California
- ZIP Code
- 92270-3211
- Phone
- (760) 779-9989
Authorized Official
- Name
- STEPHEN L. KREIZENBECK, DDS
- Title
- PRESIDENT
- Phone
- (760) 779-9989
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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