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Organization
L. MAURICIO RODRIGUEZ DDS, PA
Active
Organization
L. MAURICIO RODRIGUEZ DDS, PA
Active
Other names
Premier Dental
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS MAURICIO RODRIGUEZ DDS (OWNER/DOCTOR)
(281) 488-1227
Entity
Organization
Contact information
Practice address
11 PROFESSIONAL PARK DR., WEBSTER, TX 77598
(281) 317-6401
(281) 488-2888
Mailing address
11 PROFESSIONAL PARK DR., WEBSTER, TX 77598
(281) 317-6401
(281) 488-2888
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043659972
TYPE 1 NPI
TX
Enumeration date
09/21/2015
Last updated
12/22/2021
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