Individual
DR. MARIA CARLA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
800 ROSE ST, D104, UK COLLEGE OF DENTISTRY, LEXINGTON, KY 40536
(859) 323-3368
Mailing address
800 ROSE ST, D104, UK COLLEGE OF DENTISTRY, LEXINGTON, KY 40536
(859) 323-3368
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
5327
KY
1223G0001X
General Practice Dentistry
Primary
5327
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
45001278
—
KY
Enumeration date
09/07/2006
Last updated
02/24/2021
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