Individual
PEDRO ELIUD RODRIGUEZ LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6350 W ANDREW JOHNSON HWY, TALBOTT, TN 37877-8605
(423) 587-7337
(423) 586-0614
Mailing address
1923 SULPHUR SPRINGS RD, MORRISTOWN, TN 37813-5654
(423) 317-9344
(423) 714-2355
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
03/05/2020
Last updated
03/05/2020
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