Individual
DR. NATASHA BODIROGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4910 E CHANDLER BLVD STE 120, PHOENIX, AZ 85048-0868
(480) 562-5129
Mailing address
2134 E BROADWAY RD UNIT 2017, TEMPE, AZ 85282-1778
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D011935
AZ
1223G0001X
General Practice Dentistry
D11290
OR
Other
Enumeration date
08/23/2020
Last updated
08/28/2023
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