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Individual

EDUARDO MANUEL RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
316 DEL PRADO BLVD S, CAPE CORAL, FL 33990-1710
(239) 278-3600
Mailing address
PO BOX 919771, ORLANDO, FL 32891-9771
(239) 278-3600
(239) 226-4650

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN24096
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
105177900
FL
Enumeration date
01/11/2007
Last updated
09/30/2020
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