Individual
MRS. CARLA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3336 W 105TH TER, HIALEAH, FL 33018-1244
(786) 608-0968
Mailing address
3336 W 105TH TER, HIALEAH, FL 33018-1244
(786) 608-0968
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN25169
FL
Other
Enumeration date
07/10/2020
Last updated
07/10/2020
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