Individual
DR. FERNAN RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
325 W WESTCHESTER PKWY, SUITE 100, GRAND PRAIRIE, TX 75052-2857
(972) 263-1755
(972) 264-6226
Mailing address
325 W WESTCHESTER PKWY, SUITE 100, GRAND PRAIRIE, TX 75052-2857
(972) 263-1755
(972) 264-6226
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
21607
TX
Other
Enumeration date
03/28/2007
Last updated
11/17/2015
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