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1912013020
RUSSELL W RODERICK
PHOENIX, AZ
NPI
1912013020
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: AZ 4906)
Enumeration Date
2006-08-22
Last Update Date
2007-07-08
Business Address
Dr. RUSSELL W RODERICK D.M.D
26232 N TATUM BLVD SUITE 400
PHOENIX, AZ 85050-7501
Phone number: 480-515-0404
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Mailing Address
Dr. RUSSELL W RODERICK D.M.D
26232 N TATUM BLVD SUITE 400
PHOENIX, AZ 85050-7501
Phone number: 480-515-0404
Copy
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