Organization
JOSEPH L. RODRIGUEZ DDS AND ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH L RODRIGUEZ DDS (PRESIDENT)
(804) 513-9434
Entity
Organization
Contact information
Practice address
1301 MAIN ST, SUITE 9, SALMON, ID 83467-4451
(804) 513-9434
Mailing address
1301 MAIN ST, SUITE 9, SALMON, ID 83467-4451
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9646
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447538913
PERSONAL NPI NUMBER
NC
Enumeration date
12/12/2016
Last updated
12/12/2016
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