Individual
DR. MAIRA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
24929 GODDARD RD, TAYLOR, MI 48180-3930
(734) 947-3621
(734) 947-3633
Mailing address
1888 PRAIRIE DUNES CT S, ANN ARBOR, MI 48108-8641
(734) 255-1839
(734) 947-3633
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901018189
MI
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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