Organization
MANUEL J RODRIGUEZ DDS LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANUEL J RODRIGUEZ DDS (PRESIDENT)
(847) 526-3660
Entity
Organization
Contact information
Practice address
521 W LIBERTY ST, WAUCONDA, IL 60084-2470
(847) 526-3660
(847) 526-6970
Mailing address
521 W LIBERTY ST, WAUCONDA, IL 60084-2470
(847) 526-3660
(847) 526-6970
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
11/06/2006
Last updated
08/22/2020
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