Organization
ARIZONA MOBILE DENTAL, PC
Active
Other names
Robert L. Birdwell DDS, PC
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL LACORTE DDS (PRESIDENT)
(888) 833-8441
Entity
Organization
Contact information
Practice address
2550 W UNION HILLS DR, SUITE 202, PHOENIX, AZ 85027-5163
(888) 833-8441
(888) 330-4331
Mailing address
33533 W 12 MILE RD, SUITE 150, FARMINGTON HILLS, MI 48331-3354
(888) 833-8441
(888) 330-4331
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/11/2016
Last updated
05/17/2018
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