Organization
JOSE' R. RODRIGUEZ, D.D.S., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE' RAFAEL RODRIGUEZ D.D.S. (OWNER/PRESIDENT)
(913) 631-5600
Entity
Organization
Contact information
Practice address
12480 W 62ND TER, SUITE 200, SHAWNEE MISSION, KS 66216-1810
(913) 631-5600
(913) 631-2602
Mailing address
12480 W 62ND TER, SUITE 200, SHAWNEE MISSION, KS 66216-1810
(913) 631-5600
(913) 631-2602
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
60039
KS
Other
Enumeration date
06/17/2006
Last updated
08/22/2020
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