Organization
CARLOS RODRIGUEZ DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS S RODRIGUEZ DDS (DENTIST)
(731) 885-0355
Entity
Organization
Contact information
Practice address
1301 MEDICAL PARK CIR, UNION CITY, TN 38261-5877
(731) 885-0355
(731) 885-8224
Mailing address
1301 MEDICAL PARK CIR, UNION CITY, TN 38261-5877
(731) 885-0355
(731) 885-8224
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7217
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1516146
—
TN
Enumeration date
07/11/2011
Last updated
07/11/2011
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