Individual
KENIA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2428 W ILLINOIS AVE, DALLAS, TX 75233-1106
(214) 330-0222
Mailing address
1230 DEKALB AVE, BROOKLYN, NY 11221-3204
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
31014
TX
Other
Enumeration date
05/19/2014
Last updated
09/30/2015
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