Individual
PAOLA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17 S WARREN ST, DOVER, NJ 07801-4506
(973) 288-5843
Mailing address
17 S WARREN ST, DOVER, NJ 07801-4506
(973) 288-5843
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02652800
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2016
Last updated
05/05/2017
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