Camelback Pediatric Dentistry And Orthodontics | |
4901 N 44th St #101 Phoenix AZ 85018-2782 | |
(602) 595-3531 | |
(602) 595-3431 |
Full Name | Camelback Pediatric Dentistry And Orthodontics |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 4901 N 44th St, Phoenix, Arizona |
Authorized Official Name and Position | Robert Mark Mirabelli (PEDIATRIC DENTIST PRACTICE OWNER) |
Authorized Official Contact | 6025953431 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Camelback Pediatric Dentistry And Orthodontics 4901 N 44th St #101 Phoenix AZ 85018-2782 Ph: (602) 595-3531 | Camelback Pediatric Dentistry And Orthodontics 4901 N 44th St #101 Phoenix AZ 85018-2782 Ph: (602) 595-3531 |
NPI Number | 1033288733 |
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Provider Enumeration Date | 11/07/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033288733 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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