Individual
CAROLINE YAMILE RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20025 LAKE FOREST DR STE 105, LAKE FOREST, CA 92630-8716
(949) 521-4907
Mailing address
20025 LAKE FOREST DR STE 105, LAKE FOREST, CA 92630-8716
(949) 521-4907
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
111155
CA
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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