RAHADIAN KRIS PUTRASAHAN

CHANDLER, AZ
NPI1083700967
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: AZ  4695)
Enumeration Date2006-10-05
Last Update Date2011-07-20
Business Address
Dr. RAHADIAN KRIS PUTRASAHAN DDS
3195 W RAY RD SUITE #3
CHANDLER, AZ 85226-2417
Phone number: 480-788-3627
Mailing Address
Dr. RAHADIAN KRIS PUTRASAHAN DDS
7650 S MCCLINTOCK DR SUITE 103-235
TEMPE, AZ 85284-1672
Phone number: 480-788-3627