# ORANGE DMSO, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wellness Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184207912
- **Authorized official:** SEVERN BIZZARO (MANAGER)
- **Authorized official phone:** (702) 937-4356

## Contact information

- **Practice address:** 2165 W ORANGE GROVE RD, TUCSON, AZ 85741-3118
- **Practice address phone:** (520) 800-0333
- **Mailing address:** 2165 W ORANGE GROVE RD, TUCSON, AZ 85741-3118
- **Mailing address phone:** (520) 800-0333

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/29/2021
- **Last updated:** 04/29/2021