# NAOMI C ROEDER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1588787246
- **Gender:** F
- **Credential:** DDS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | D6141 | AZ | Yes |

## Other

- **Enumeration date:** 04/09/2007
- **Last updated:** 02/05/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 092403 | WHITERIVER | — |
| 01 | — | 092461 | CBQ | — |
| 05 | — | 931586 | — | AZ |