Organization
ORANGE DMSO, LLC
Active
Other names
Wellness Dental
Organization subpart
No
Provider details
NPI number
Authorized official
SEVERN BIZZARO (MANAGER)
(702) 937-4356
Entity
Organization
Contact information
Practice address
2165 W ORANGE GROVE RD, TUCSON, AZ 85741-3118
(520) 800-0333
Mailing address
2165 W ORANGE GROVE RD, TUCSON, AZ 85741-3118
(520) 800-0333
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/29/2021
Last updated
04/29/2021
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