Individual
RODRIGO NEIVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
3223 N BROAD ST, PHILADELPHIA, PA 19140-5007
(215) 992-2945
Mailing address
3223 N BROAD ST, PHILADELPHIA, PA 19140-5007
(215) 992-2945
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901018582
MI
122300000X
Dentist
Primary
RFD000046
PA
122300000X
Dentist
TP537
FL
1223P0300X
Periodontics
2901018582
MI
1223P0300X
Periodontics
TP537
FL
Other
Enumeration date
03/15/2007
Last updated
01/08/2025
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