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Individual

DR. ALAN RODRIGUEZ JR.

Active
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Individual

DR. ALAN RODRIGUEZ JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
25698
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275620551
ROBERTSON CHC NPI
TX
05
—
154467801
—
TX
05
—
154467803
—
TX
01
—
1649265646
NPI BRYAN CHC
TX
01
—
1821185299
BVCAA AGENCY NPI
TX
01
—
25698
SDBE DENTAL LICENSE
TX
Enumeration date
07/09/2010
Last updated
03/03/2016
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