| Orthodontic Specialists of Arizona | |
|
1842 E Baseline Rd Tempe AZ 85283-1514 | |
| (480) 576-6323 | |
| Not Available |
| Full Name | Orthodontic Specialists of Arizona |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1842 E Baseline Rd, Tempe, Arizona |
| Authorized Official Name and Position | Bart Palmisano (OFFICER) |
| Authorized Official Contact | 7275225599 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Orthodontic Specialists of Arizona 1842 E Baseline Rd Tempe AZ 85283-1514 | Orthodontic Specialists of Arizona 1842 E Baseline Rd Tempe AZ 85283-1514 Ph: (480) 576-6323 |
| NPI Number | 1992322192 |
|---|---|
| Provider Enumeration Date | 07/03/2020 |
| Last Update Date | 07/03/2020 |
| Certification Date | 07/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992322192 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | () | Primary |
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