Organization
KRISTAN D RODRIGUEZ DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTAN RODRIGUEZ (DENTIST)
(971) 280-0498
Entity
Organization
Contact information
Practice address
15962 SW TUALATIN SHERWOOD RD, SHERWOOD, OR 97140-8690
(503) 625-3767
Mailing address
15962 SW TUALATIN SHERWOOD RD, SHERWOOD, OR 97140-8690
(503) 625-3767
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/12/2024
Last updated
09/12/2024
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