Organization
MDBB MANAGEMENT LLC
Active
Other names
Orthodontic Specialists of Arizona
Organization subpart
No
Provider details
NPI number
Authorized official
BART PALMISANO (OFFICER)
(727) 522-5599
Entity
Organization
Contact information
Practice address
1842 E BASELINE RD, TEMPE, AZ 85283-1514
(480) 576-6323
Mailing address
1842 E BASELINE RD, TEMPE, AZ 85283-1514
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
07/03/2020
Last updated
07/03/2020
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