Individual
RAQUEL RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
903 PARK AVE APT 2, HOBOKEN, NJ 07030-4204
(845) 220-6815
Mailing address
903 PARK AVE APT 2, HOBOKEN, NJ 07030-4204
(845) 220-6815
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02661500
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2016
Last updated
03/10/2017
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