Individual
DR. CRISTIAN RAFAEL NINA RODRIGUEZ SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2025 E BELTLINE AVE SE STE 101, GRAND RAPIDS, MI 49546-7676
(616) 949-1570
Mailing address
455 SLIGH BLVD NE, GRAND RAPIDS, MI 49505-3676
(269) 213-6281
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901602748
MI
Other
Enumeration date
07/21/2025
Last updated
07/21/2025
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