Individual
SARAH RADDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
CORNER OF ROUTE N12 AND N7, FORT DEFIANCE, AZ 86504
(313) 204-0906
Mailing address
PO BOX 649, FORT DEFIANCE, AZ 86504-0649
(928) 729-8000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901601557
MI
1223G0001X
General Practice Dentistry
Primary
2901601557
MI
Other
Enumeration date
11/14/2022
Last updated
02/26/2025
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