Organization
MDBB MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BART PALMISANO (SECRETARY)
(723) 752-2559
Entity
Organization
Contact information
Practice address
2680 S VAL VISTA DR STE 101, GILBERT, AZ 85295-1606
(727) 522-5599
Mailing address
2680 S VAL VISTA DR STE 101, GILBERT, AZ 85295-1606
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
04/03/2019
Last updated
02/02/2023
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