Individual
DR. ANNA MARIA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3801 INDIANA AVE, WINSTON-SALEM, NC 27105-8202
(336) 744-1300
Mailing address
5222 MICHAUX RD, GREENSBORO, NC 27410
(336) 906-3256
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11486
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
05/19/2018
Last updated
02/01/2021
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