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Jason Mirabile Dental Corp
Preferred Provider Organization in Santa Monica, California
NPI 1780072199

Jason Mirabile Dental Corp is a Preferred Provider Organization based in Santa Monica, CA. Jason Mirabile Dental Corp practices in Santa Monica, CA. The NPI Number for Jason Mirabile Dental Corp is 1780072199 and holds a License No. 49147 (California).

The current practice location address for Jason Mirabile Dental Corp is 1304 15Th St, Santa Monica, CA and can be reached out via phone at 310-319-9300 and via fax at 310-319-9320. You can also correspond with Jason Mirabile Dental Corp through the mailing address at 1304 15TH ST, SANTA MONICA, CA - 90404-1809 (mailing address contact number: 310-319-9300).

Location: 1304 15Th St, Santa Monica, CA, 90404-1809
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1780072199
Provider Name
Jason Mirabile Dental Corp
Credential
Provider Entity Type
Organization
Address
1304 15Th St, Santa Monica, CA, 90404-1809
Phone Number
310-319-9300
Fax Number
310-319-9320
Provider Enumeration Date
01/07/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1304 15Th St
City
Santa Monica
State
California
Zip
90404-1809
Phone Number
310-319-9300
Fax Number
310-319-9320
person
Provider Business Mailing Address Details
Address
1304 15Th St
City
Santa Monica
State
California
Zip
90404-1809
Phone Number
310-319-9300
Fax Number
310-319-9320
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Preferred Provider Organization
Speciality
-
Taxonomy
305R00000X
License No.
49147 (California)
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
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