Individual
DR. BRYANT RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7106 CERMAK RD, BERWYN, IL 60402
(708) 540-1000
Mailing address
24 N PARKSIDE AVE APT 2D, GLEN ELLYN, IL 60137-5759
(954) 235-7562
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.035086
IL
Other
Enumeration date
06/14/2024
Last updated
06/14/2024
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