RUSSELL W RODERICK

PHOENIX, AZ
NPI1912013020
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: AZ  4906)
Enumeration Date2006-08-22
Last Update Date2007-07-08
Business Address
Dr. RUSSELL W RODERICK D.M.D
26232 N TATUM BLVD SUITE 400
PHOENIX, AZ 85050-7501
Phone number: 480-515-0404
Mailing Address
Dr. RUSSELL W RODERICK D.M.D
26232 N TATUM BLVD SUITE 400
PHOENIX, AZ 85050-7501
Phone number: 480-515-0404