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Individual
DR. RODRIGO LORENZO URIBE
Active
Individual
DR. RODRIGO LORENZO URIBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN011060
GA
174400000X
Specialist
DN011060
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000514489A
—
GA
Enumeration date
07/26/2006
Last updated
10/30/2018
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