Individual
DR. GORDON KENT ROEDIGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5190 E FARNESS DR STE 100, TUCSON, AZ 85712-2142
(520) 795-3773
(520) 795-4008
Mailing address
5190 E FARNESS DR STE 100, TUCSON, AZ 85712-2142
(520) 795-3773
(520) 795-4008
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2385
AZ
1223G0001X
General Practice Dentistry
6179
AZ
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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