# GRACIELA RODRIGUEZ

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1487809299
- **Gender:** F
- **Credential:** DDS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 24146 | TX | Yes |
| 1223G0001X | General Practice Dentistry | 24146 | TX | — |

## Other

- **Enumeration date:** 11/20/2008
- **Last updated:** 10/24/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1487809299 | — | TX |