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Individual
YVONNE SHU RODRIGUEZ
Active
Individual
YVONNE SHU RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
41547
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
771913
UNITED CONCORDIA PROVIDER
CA
01
—
954876236
TAX IDENTIFICATION NUMBER
CA
01
—
B41547
HEALTHY FAMILIES PROVIDER
CA
05
—
D41547
—
CA
05
—
G9220601
—
CA
Enumeration date
11/16/2006
Last updated
03/16/2021
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