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Individual

JUAN RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RDH

Contact information

Practice address
174 KINGS HWY, NEW ROCHELLE, NY 10801-6604
(804) 467-4668
Mailing address
174 KINGS HWY, NEW ROCHELLE, NY 10801-6604
(804) 467-4668

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
026866
NY

Other

Enumeration date
01/22/2015
Last updated
01/22/2015
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