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Individual

DR. CARLOS RODQUAE BOSTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS, PT

Contact information

Practice address
6081 SCOTT ST, HOUSTON, TX 77021-2663
(713) 440-8999
Mailing address
241 WILSON GREEN BLVD, TALLAHASSEE, FL 32305-1411
(202) 491-5781

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
25589
TX
225100000X
Physical Therapist
21493
MD

Other

Enumeration date
04/09/2007
Last updated
08/26/2010
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