Individual
JILL MARIE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
8990 N WASHINGTON, THORNTON, CO 80229-4537
(303) 650-4460
Mailing address
1345 PLAZA CT N STE 1A, LAFAYETTE, CO 80026-2832
(303) 665-3036
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
905446
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00170275
—
CO
Enumeration date
11/16/2011
Last updated
07/23/2013
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