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Individual

DR. FELIX JUAN RODRIGUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
2951 GRAND CONCOURSE, SUITE NUMBER 6, BRONX, NY 10468
(718) 561-0773
(718) 561-4714
Mailing address
2951 GRAND CONCOURSE, SUITE NUMBER 6, BRONX, NY 10468
(718) 561-0773
(718) 561-4714

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
046173
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01602313
NY
Enumeration date
10/02/2006
Last updated
07/09/2007
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