Organization
GAMALIEL I. RODRIGUEZ, DDS, PC
Active
Other names
Northern Lights Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
GAMALIEL ISSAC RODRIGUEZ DDS (OWNER)
(907) 490-0127
Entity
Organization
Contact information
Practice address
2595 SAINT NICHOLAS DR, NORTH POLE, AK 99705-7747
(907) 490-4629
(907) 490-4649
Mailing address
2595 SAINT NICHOLAS DR, NORTH POLE, AK 99705-7747
(907) 490-4629
(907) 490-4649
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
AA828
AK
Other
Enumeration date
12/18/2015
Last updated
12/18/2015
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