Individual
DR. CORY BRANDON RAUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2820 E UNIVERSITY DR, SUITE #108, MESA, AZ 85213-8500
(480) 361-4923
Mailing address
2820 E UNIVERSITY DR, SUITE #108, MESA, AZ 85213-8500
(480) 361-4923
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7322
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
239123
—
AZ
Enumeration date
08/07/2007
Last updated
12/15/2016
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