Organization
SELAH'S SMILES DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TYRONE F RODRIGUEZ DDS (OWNER)
(509) 731-1592
Entity
Organization
Contact information
Practice address
202 W NACHES AVE, SELAH, WA 98942-1326
(509) 698-6684
Mailing address
202 W NACHES AVE, SELAH, WA 98942-1326
(509) 698-6684
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/23/2013
Last updated
04/23/2013
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