# ECHARTE-RODRIGUEZ DENTAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Echarte-Rodriguez Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407309602
- **Authorized official:** DR. GONZALO ECHARTE DDS (DOCTOR- OWNER)
- **Authorized official phone:** (626) 331-6666

## Contact information

- **Practice address:** 546 W BADILLO ST STE E, COVINA, CA 91722-3786
- **Practice address phone:** (626) 331-6666
- **Practice address fax:** (626) 331-6660
- **Mailing address:** 546 W BADILLO ST STE E, COVINA, CA 91722-3786
- **Mailing address phone:** (626) 331-6666
- **Mailing address fax:** (626) 331-6660

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 52379 | CA | Yes |

## Other

- **Enumeration date:** 07/25/2016
- **Last updated:** 07/25/2016