Individual
DR. ROBERTO E DIVITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7900 E THOMPSON PEAK PKWY STE 101, ARIZONA CENTER FOR LASER DENTISTRY, SCOTTSDALE, AZ 85255-7400
(480) 990-1905
(480) 990-2311
Mailing address
7900 E THOMPSON PEAK PKWY STE 101, ARIZONA CENTER FOR LASER DENTISTRY, SCOTTSDALE, AZ 85255-7400
(480) 990-1905
(480) 990-2311
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7595
AZ
Other
Enumeration date
08/05/2008
Last updated
08/05/2008
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