Individual
DENISE RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
14352 EMORY DR, WHITTIER, CA 90605-1109
(714) 343-3756
Mailing address
14352 EMORY DR, WHITTIER, CA 90605-1109
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
26440
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DENTAL PROVIDER
DENTAL PROVIDER
CA
Enumeration date
09/19/2013
Last updated
09/19/2013
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