Individual
MANUEL J RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
521 W LIBERTY ST, WAUCONDA, IL 60084-2470
(847) 526-3660
(847) 526-6970
Mailing address
521 W LIBERTY ST, WAUCONDA, IL 60084-2470
(847) 526-3660
(847) 526-6970
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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