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Organization
GRACIELA RODRIGUEZ DDS PA
Active
Organization
GRACIELA RODRIGUEZ DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACIELA RODRIGUEZ DDS (PRESIDENT)
(713) 968-9842
Entity
Organization
Contact information
Practice address
15634 WALLISVILLE RD, SUITE 900, HOUSTON, TX 77049-4635
(713) 968-9842
(504) 617-6430
Mailing address
15634 WALLISVILLE RD, SUITE 900, HOUSTON, TX 77049-4635
(713) 968-9842
(504) 617-6430
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
24146
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24146
LICENSE
TX
Enumeration date
03/25/2010
Last updated
03/07/2023
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