# ELIZABETH DENTAL 77 PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Eli 1 DDS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427738848
- **Authorized official:** DR. RAFAEL D RODRIGUEZ DDS (PRESIDENT)
- **Authorized official phone:** (908) 352-2313

## Contact information

- **Practice address:** 230 W JERSEY STREET, SUITE L 6, ELIZABETH, NJ 07202-1380
- **Practice address phone:** (908) 352-2313
- **Mailing address:** 230 W JERSEY STREET, SUITE L 6, ELIZABETH, NJ 07202-1380
- **Mailing address phone:** (908) 352-2313

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 07/20/2023
- **Last updated:** 07/20/2023