Organization
DORA E RODRIGUEZ DMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DORA E RODRIGUEZ DMD (PRESIDENT)
(954) 431-3025
Entity
Organization
Contact information
Practice address
9449 SHERIDAN STREET, SUITE B, COOPER CITY, FL 33024
(954) 431-3025
(954) 431-3201
Mailing address
9449 SHERIDAN STREET, SUITE B, COOPER CITY, FL 33024
(954) 431-3025
(954) 431-3201
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN16833
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
87192
BLUE CROSS BLUE SHIELD
FL
Enumeration date
11/28/2006
Last updated
10/18/2007
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