DR. Rahadian Kris Putrasahan, DDS

NPI #1083700967 in Chandler, Arizona

Provider Information

NPI Number: 1083700967
Entity Type: Individual
Name: DR. Rahadian Kris Putrasahan, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Oct 5, 2006
Last Updated: Jul 20, 2011

Practice Location

Address: 3195 W RAY RD
Address 2: SUITE #3
City: Chandler
State: Arizona
ZIP Code: 85226-2417
Phone: (480) 788-3627

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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