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Organization

MARTIN & RODRIGUEZ DENTAL CENTER PLLC

Active
Other names
Martin Dental Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. J DOUGLAS RODRIGUEZ DDS (PARTNER)
(509) 837-4022
Entity
Organization

Contact information

Practice address
1723 E LINCOLN AVE, SUNNYSIDE, WA 98944-2478
(509) 837-4022
(509) 839-4022
Mailing address
1723 E LINCOLN AVE, SUNNYSIDE, WA 98944-2478
(509) 837-4022
(509) 839-4022

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DE00005731
WA
1223G0001X
General Practice Dentistry
Primary
DE00007707
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5032123
WA
Enumeration date
04/12/2006
Last updated
04/25/2012
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