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1083700967
RAHADIAN KRIS PUTRASAHAN
CHANDLER, AZ
NPI
1083700967
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: AZ 4695)
Enumeration Date
2006-10-05
Last Update Date
2011-07-20
Business Address
Dr. RAHADIAN KRIS PUTRASAHAN DDS
3195 W RAY RD SUITE #3
CHANDLER, AZ 85226-2417
Phone number: 480-788-3627
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Mailing Address
Dr. RAHADIAN KRIS PUTRASAHAN DDS
7650 S MCCLINTOCK DR SUITE 103-235
TEMPE, AZ 85284-1672
Phone number: 480-788-3627
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QUALITY DENTAL CARE