Individual
ANA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1240 14TH AVE APT 301, SAN FRANCISCO, CA 94122
(786) 260-3719
Mailing address
100 7TH ST APT 1706, PITTSBURGH, PA 15222-3417
(786) 260-3719
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
103075
CA
1223P0221X
Pediatric Dentistry
Primary
DS043442
PA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/15/2016
Last updated
03/16/2022
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