Individual
KATRINA NAASZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
4212 N 16TH ST, PHOENIX, AZ 85016
(602) 263-1200
Mailing address
PO BOX 31001-0698, PASADENA, CA 91110-0698
(602) 263-1200
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
LL-340-13
NV
1223P0221X
Pediatric Dentistry
Primary
D07172
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
914657
—
AZ
Enumeration date
09/21/2006
Last updated
05/01/2019
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