Individual
DR. JOSE CARLOS RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
EAST HIGHWAY 18, PINE RIDGE, SD 57770-1201
(605) 867-3078
(605) 867-3229
Mailing address
6606 150TH LN, GORDON, NE 69343-5407
(308) 282-0779
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
001871
PR
Other
Enumeration date
02/07/2006
Last updated
12/13/2011
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