Organization
AZ SPECIALTY DENTAL SERVICES, LLC
Active
Parent organization
AZ SPECIALTY DENTAL SERVICES, LLC
Other names
Redstone Orthodontics
Organization subpart
Yes
Provider details
NPI number
Legal business name
AZ SPECIALTY DENTAL SERVICES, LLC
Authorized official
CHARLOTTE V DASCH (DIRECTOR OF CRED AND PROV REL)
(504) 638-0303
Entity
Organization
Contact information
Practice address
10006 W HAPPY VALLEY PKWY STE 12, PEORIA, AZ 85383-1235
(623) 486-3377
Mailing address
1610 54TH AVE N STE 205, NASHVILLE, TN 37209-1442
(615) 678-0759
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
11/19/2024
Last updated
11/19/2024
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