Individual
DR. EDWARD B BODIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3821 W COSTCO DR, SUITE 103, TUCSON, AZ 85741-2890
(520) 575-8144
(520) 575-8144
Mailing address
3821 W COSTCO DR, SUITE 103, TUCSON, AZ 85741-2890
(520) 575-8144
(520) 575-8144
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
4062
AZ
1223G0001X
General Practice Dentistry
Primary
D04062
AZ
Other
Enumeration date
02/19/2007
Last updated
06/19/2017
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