Individual
JORGE ISRAEL FELIX RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 BOONE RD, BREMERTON, WA 98312-1894
(360) 475-4455
(866) 502-1901
Mailing address
1 BOONE RD, BREMERTON, WA 98312-1894
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
09/07/2017
Last updated
09/07/2017
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