Individual
MISS EMILY MARIE RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
109 W AYCOCK ST, RALEIGH, NC 27608-2503
(410) 991-0826
Mailing address
109 W AYCOCK ST, RALEIGH, NC 27608-2503
(410) 991-0826
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9002
NC
Other
Enumeration date
07/13/2010
Last updated
07/13/2010
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