# DAN RODDA, DDS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Complete Dental Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770208498
- **Authorized official:** DAN RODDA DDS (DOCTOR OWNER)
- **Authorized official phone:** (928) 525-4642

## Contact information

- **Practice address:** 15255 N 40TH ST STE 141, PHOENIX, AZ 85032-4682
- **Practice address phone:** (928) 525-4642
- **Mailing address:** 449 W WULFENITE RD, FLAGSTAFF, AZ 86005-6836
- **Mailing address phone:** (928) 525-4642

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/05/2022
- **Last updated:** 10/05/2022