# ROGER CARL BIEDE II DDS LTD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790083566
- **Authorized official:** DR. ROGER CARL BIEDE II DDS (DENTIST)
- **Authorized official phone:** (520) 797-1240

## Contact information

- **Practice address:** 1238 W ORANGE GROVE RD, SUITE 102, TUCSON, AZ 85704-2950
- **Practice address phone:** (520) 797-1240
- **Practice address fax:** (520) 797-1240
- **Mailing address:** 1238 W ORANGE GROVE RD, SUITE 102, TUCSON, AZ 85704-2950
- **Mailing address phone:** (520) 797-1240
- **Mailing address fax:** (520) 797-1240

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 1936 | AZ | Yes |

## Other

- **Enumeration date:** 03/03/2011
- **Last updated:** 09/14/2011