| Desert Dental Arts | |
|
6127 N La Cholla Blvd Ste 175 Tucson AZ 85741-3747 | |
| (520) 575-6216 | |
| (520) 575-6219 |
| Full Name | Desert Dental Arts |
|---|---|
| Speciality | Dentist |
| Location | 6127 N La Cholla Blvd Ste 175, Tucson, Arizona |
| Authorized Official Name and Position | Gordon Kent Roediger (DENTIST/OWNER/PRESIDENT) |
| Authorized Official Contact | 5205756216 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Desert Dental Arts 6127 N La Cholla Blvd Ste 175 Tucson AZ 85741-3747 Ph: (520) 575-6216 | Desert Dental Arts 6127 N La Cholla Blvd Ste 175 Tucson AZ 85741-3747 Ph: (520) 575-6216 |
| NPI Number | 1649455379 |
|---|---|
| Provider Enumeration Date | 12/31/2007 |
| Last Update Date | 12/31/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649455379 | NPI | - | NPPES |
| 1093925232 | Other | AZ | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2385 (Arizona) | Primary |
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