Individual
DR. OCTAVIO RENE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
105 NEWSOM ST, SUITE 103, DURHAM, NC 27704-2197
(919) 797-2689
Mailing address
605 JONES FERRY RD, APARTMENT: JJ05, CARRBORO, NC 27510-2106
(828) 674-1784
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9530
NC
Other
Enumeration date
05/31/2013
Last updated
05/31/2013
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