Organization
RODRIGUEZ DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHAEL LOUISE RODRIGUEZ (DDS, MEMBER)
(479) 250-1516
Entity
Organization
Contact information
Practice address
1521 EXECUTIVE PLACE, SUITE A, SPRINGDALE, AR 72762
(870) 270-0452
Mailing address
1521 EXECUTIVE PLACE, SUITE A, SPRINGDALE, AR 72762
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223G0001X
General Practice Dentistry
—
—
Other
Enumeration date
10/17/2017
Last updated
05/15/2018
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