Mirage Dental Associates

NPI #1548516743 in Castle Rock, Colorado

Provider Information

NPI Number: 1548516743
Entity Type: Organization
Organization Name: Mirage Dental Associates
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 25, 2012
Last Updated: Feb 23, 2023

Practice Location

Address: 755 S PERRY ST STE 200
City: Castle Rock
State: Colorado
ZIP Code: 80104-1923
Phone: (720) 733-3440

Authorized Official

Name: DR. MICHAEL JOHN MORONI JR., D.D.S.
Title: DENTIST
Phone: (720) 733-3440

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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