Individual
DR. TYRONE FERNANDO RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
21889
TX
1223P0221X
Pediatric Dentistry
Primary
DE00010610
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0212066
L & I
WA
01
—
5051248
CHPW
WA
05
—
5051248
—
WA
01
—
911019392
COMMERCIAL
—
Enumeration date
01/26/2007
Last updated
02/29/2012
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