Organization
DYNAMIC DENTAL LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARC A RESASCO (OWNER)
(480) 646-6004
Entity
Organization
Contact information
Practice address
7170 E MCDONALD DR STE 12, SCOTTSDALE, AZ 85253-5424
(480) 646-6004
Mailing address
60 LORRAINE CT., HOLBROOK, NY 11741
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/21/2016
Last updated
09/23/2016
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