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Organization
THOMAS L RODERICK DDS
Active
Organization
THOMAS L RODERICK DDS
Active
Parent organization
THOMAS L RODERICK
Organization subpart
Yes
Provider details
NPI number
Legal business name
THOMAS L RODERICK
Authorized official
THOMAS L RODERICK DDS (OWNER)
(619) 574-1810
Entity
Organization
Contact information
Practice address
2333 CAMINO DEL RIO SOUTH, #140, SAN DIEGO, CA 92108-4135
(619) 574-1810
(619) 574-1326
Mailing address
2333 CAMINO DEL RIO S, SUITE 140, SAN DIEGO, CA 92108-4135
(619) 574-1810
(619) 574-1326
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
33655
CA
Other
Enumeration date
02/14/2008
Last updated
02/14/2008
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