Individual
ANISSA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2955 N CENTRAL AVE, CHICAGO, IL 60634-5348
(773) 286-1500
Mailing address
401 WINNIPEG AVE, BROWNSVILLE, TX 78526-9449
(956) 639-0821
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.034505
IL
Other
Enumeration date
07/13/2023
Last updated
07/13/2023
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