Individual
SEBASTIAN RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., MSC
Contact information
Practice address
7878 GATEWAY BLVD E STE 300, EL PASO, TX 79915-1802
(617) 763-8642
Mailing address
9830 GATEWAY BLVD N, EL PASO, TX 79924-4410
(915) 755-7900
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
29317
TX
Other
Enumeration date
08/21/2013
Last updated
08/25/2014
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