MEDICARE: MIRNA ELENA FLORES DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	D011455	AZ
2	1223G0001X	General Practice Dentistry	D011455	AZ
3	1223D0001X	Public Health Dentistry	D011455	AZ

General Provider Information

NPI Number	:	1821724261
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MIRNA ELENA FLORES DMD

Provider Business Mailing Address
First Line	:	15317 W BELL RD STE 108
Second Line	:
City	:	SURPRISE
State	:	AZ
Zip	:	85374-3901
Country	:	US
Telephone Number	:	877-809-5092
Fax Number	:	623-214-5231

Provider Business Practice Location Address
First Line	:	15317 W BELL RD STE 108
Second Line	:
City	:	SURPRISE
State	:	AZ
Zip	:	85374-3901
Country	:	US
Telephone Number	:	877-809-5092
Fax Number	:	623-214-5231

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/27/2022
Last Update Date	:	08/01/2022

Similar Medicare Providers

1093067670 — GENOA HEALTHCARE, LLC
Practice Location Address:

15317 W BELL RD STE 106 , SUITE 106
SURPRISE, AZ
85374-3901

Practice Phone: 623-544-5190
Practice Fax: 623-214-5234

1861879066 — ADELANTE HEALTHCARE INC
Practice Location Address:

15317 W BELL RD STE 108
SURPRISE, AZ
85374-3901

Practice Phone: 480-964-2273
Practice Fax: 623-214-5213

1174115497 — GABRIELA ELIZABETH ESPINOZA RDH
Practice Location Address:

15317 W BELL RD STE 108
SURPRISE, AZ
85374-3901

Practice Phone: 623-583-3001
Practice Fax:

1235889270 — ADELANTE HEALTHCARE INC
Practice Location Address:

15317 W BELL RD STE 106
SURPRISE, AZ
85374-3901

Practice Phone: 480-964-2273
Practice Fax:

1144951724 — KATENNIA LESHONN THOMAS LPC
Practice Location Address:

15317 W BELL RD STE 106
SURPRISE, AZ
85374-3901

Practice Phone: 480-964-2273
Practice Fax:

1023739950 — MISS LINDA KASSIR LCSW
Practice Location Address:

15317 W BELL RD STE 106
SURPRISE, AZ
85374-3901

Practice Phone: 480-964-2273
Practice Fax:

Directions to “ MIRNA ELENA FLORES DMD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.