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Individual
DR. IVETTE J RODRIGUEZ
Active
Individual
DR. IVETTE J RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
934
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42097
SSS
—
Enumeration date
03/28/2006
Last updated
06/13/2014
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