| Aesthetic Family Dentistry Pc | |
|
26232 N Tatum Blvd Ste 400 Phoenix AZ 85050-7504 | |
| (480) 515-0404 | |
| (480) 515-2587 |
| Full Name | Aesthetic Family Dentistry Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 26232 N Tatum Blvd Ste 400, Phoenix, Arizona |
| Authorized Official Name and Position | Russell W. Roderick (DOCTOR) |
| Authorized Official Contact | 4805150404 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aesthetic Family Dentistry Pc 26232 N Tatum Blvd Ste 400 Phoenix AZ 85050-7504 Ph: (480) 515-0404 | Aesthetic Family Dentistry Pc 26232 N Tatum Blvd Ste 400 Phoenix AZ 85050-7504 Ph: (480) 515-0404 |
| NPI Number | 1518105691 |
|---|---|
| Provider Enumeration Date | 01/28/2009 |
| Last Update Date | 01/28/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518105691 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4906 (Arizona) | Primary |
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