Individual
GUILLERMINA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3820 SEPULVEDA BLVD, TORRANCE, CA 90505-2408
(310) 792-5200
Mailing address
13817 S CATALINA AVE, GARDENA, CA 90247-2042
(310) 999-1034
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
186-10222007100
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
186-10222007100
DENTAL ASSISTANT
CA
Enumeration date
01/24/2011
Last updated
01/24/2011
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