Individual
MR. ANGEL RODRIGUEZTAPIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
962 1ST INFANTRY DIVISION RD, JORDAN DENTAL CLINIC BLDG 2724, FORT KNOX, KY 40121-5210
(502) 626-8301
(502) 626-8300
Mailing address
398 192ND ARMOR TANK BATTALION RD, USA DENTAC HQS BLDG 1022, FORT KNOX, KY 40121-5116
(502) 624-6158
(502) 624-2966
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
08/25/2016
Last updated
08/25/2016
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