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LESTER MANUEL RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1845 HOLSONBACK DR, DAYTONA BEACH, FL 32117-5282
(386) 274-0500
Mailing address
1016 S PALMETTO AVE, DAYTONA BEACH, FL 32114-6164
(626) 975-2743

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
31246
FL
1223G0001X
General Practice Dentistry
49650
CA
124Q00000X
Dental Hygienist
Primary
15381
FL

Other

Enumeration date
11/10/2006
Last updated
01/31/2026
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