Mireya E Imitola Orta
Prosthodontist
2305 Cedar Springs Rd
Dallas
, Texas 75201-1854
Mireya E Imitola Orta
Prosthodontist
2305 Cedar Springs Rd
Dallas
, Texas 75201-1854
(972) 310-1172
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About
Features
Specialties
- Prosthodontist
Languages spoken
- English
Location
First Address
- Mireya E Imitola Orta
- 2820 Golden Meadow Ave
- Mesquite, TX
- Zip : 75181-2147
- Phone : (972) 310-1172
Second Address
- Mireya E Imitola Orta
- 2305 Cedar Springs Rd
- Dallas, TX
- Zip : 75201-1854
- Phone : (214) 969-1000
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Is Mireya E Imitola Orta a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0700X | Prosthodontist | 34534 | TX |
National Provider Identifier
| NPI | 1003382490 |
|---|---|
| Provider Name | Mireya E Imitola Orta |
| First Address | Mesquite, TX 75181-2147 |
| Second Address | Dallas, TX 75201-1854 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/10/2018 |
| Last Update Date | 23/10/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.