Individual
XENIA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
328 BUSINESS PARK DR, CHINO VALLEY, AZ 86323-5765
(928) 636-6972
Mailing address
3131 N MAIN ST APT C311, PRESCOTT VALLEY, AZ 86314-2399
(978) 495-2806
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D012185
AZ
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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