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Organization
ELIZABETH DENTAL 77 PC
Active
Organization
ELIZABETH DENTAL 77 PC
Active
Other names
Eli 1 DDS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAFAEL D RODRIGUEZ DDS (PRESIDENT)
(908) 352-2313
Entity
Organization
Contact information
Practice address
230 W JERSEY STREET, SUITE L 6, ELIZABETH, NJ 07202-1380
(908) 352-2313
Mailing address
230 W JERSEY STREET, SUITE L 6, ELIZABETH, NJ 07202-1380
(908) 352-2313
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
07/20/2023
Last updated
07/20/2023
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