Organization
GORDON K. ROEDIGER, D.D.S., P.C.
Active
Other names
Desert Dental Arts
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GORDON KENT ROEDIGER D.D.S. (DENTIST/OWNER/PRESIDENT)
(520) 575-6216
Entity
Organization
Contact information
Practice address
6127 N LA CHOLLA BLVD STE 175, TUCSON, AZ 85741-3747
(520) 575-6216
(520) 575-6219
Mailing address
6127 N LA CHOLLA BLVD STE 175, TUCSON, AZ 85741-3747
(520) 575-6216
(520) 575-6219
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2385
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093925232
NPI
AZ
Enumeration date
12/31/2007
Last updated
12/31/2007
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