Jason Mirabile Dental Corp
Jason Mirabile Dental Corp is a Preferred Provider Organization in Santa Monica, California. Licensed in California. Registered with an NPI since 2015.
- Licensed in
- CA
- In the registry since
- 2015
What do these letters mean?
- Corp — Corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1304 15th St 305Santa Monica, CA 90404-1809
Phone: (310) 319-9300
Fax: (310) 319-9320
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Preferred Provider Organization (primary) | Taxonomy 305R00000X · Licence 49147 (CA) |
|---|
Record details
| NPI number | 1780072199 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jason Mirabile — Dentist · (310) 319-9300 |
| Other names | Ihatethedentist.Com |
| NPI enumerated | January 7, 2015 |
| Last updated in NPPES | January 12, 2015 |
| Mailing address | 1304 15th St, 305, Santa Monica, CA 90404-1809 |