Organization
CAMELBACK PEDIATRIC DENTISTRY AND ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT MARK MIRABELLI DMD, MSD (PEDIATRIC DENTIST PRACTICE OWNER)
(602) 595-3431
Entity
Organization
Contact information
Practice address
4901 N 44TH ST, #101, PHOENIX, AZ 85018-2782
(602) 595-3531
(602) 595-3431
Mailing address
4901 N 44TH ST, #101, PHOENIX, AZ 85018-2782
(602) 595-3531
(602) 595-3431
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
11/07/2006
Last updated
09/11/2025
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