Organization
AZ RESTORATION DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL B MUSCATO DDS (PRINCIPAL/OWNER)
(602) 992-2996
Entity
Organization
Contact information
Practice address
4910 E GREENWAY RD, SUITE 7, SCOTTSDALE, AZ 85254-1653
(602) 992-2996
(602) 992-2228
Mailing address
4910 E GREENWAY RD, SUITE 7, SCOTTSDALE, AZ 85254-1653
(602) 992-2996
(602) 992-2228
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
4730
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
421595
AHCCCS
AZ
Enumeration date
12/15/2015
Last updated
12/15/2015
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