Most Relevant Information
Provider Data
| NPI Number: | 1003355363 |
| Provider Name: | DAVID CHODOSH DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | DD4690 |
Most Important Dates
| Enumeration Date: | 02/20/2017 |
| Last Updated: | 07/17/2018 |
Provider Practice Location
2200 GRANDE BLVD SE STE A
RIO RANCHO
NM
87124
Practice Location Phone/Fax
| Phone: | 5058911500 |
| Fax: |
Provider Mailing Location
715 MOUNTAIN RD NW
ALBUQUERQUE
NM
871022070
Provider Mailing Phone/Fax
| Phone: | 2035360508 |
| Fax: |