Individual
DR. JOTHI NADARAJAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
635 E BASELINE RD, PHOENIX, AZ 85042-6551
(602) 243-7277
(602) 243-1235
Mailing address
2702 N 3RD ST, SUITE 4020, PHOENIX, AZ 85004-1130
(602) 323-3345
(602) 323-3399
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D07416
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014014610002
—
PA
Enumeration date
10/12/2006
Last updated
12/05/2013
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