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Individual

JOSE RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3380 LA SIERRA AVE, SUITE 108, RIVERSIDE, CA 92503-5271
(951) 251-8473
Mailing address
3981 CARRICK ST, RIVERSIDE, CA 92505-3003
(951) 251-8473

Taxonomy

Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
CA

Other

Enumeration date
05/26/2011
Last updated
05/26/2011
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