Organization
RECON DENTAL SOLUTIONS LLC
Active
Other names
Value Dental Centers
Organization subpart
No
Provider details
NPI number
Authorized official
SEVERN BIZZARO (MANAGER)
(702) 449-0881
Entity
Organization
Contact information
Practice address
4505 E MCKELLIPS RD, MESA, AZ 85215-2523
(480) 626-8060
Mailing address
1628 E SOUTHERN AVE STE 9-232, TEMPE, AZ 85282-5782
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/25/2018
Last updated
06/25/2018
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