Individual
DR. ANGEL EMMANUEL RODRIGUEZ PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MSD
Contact information
Practice address
8938 S BROADWAY AVE STE 480, TYLER, TX 75703-5733
(918) 801-8124
Mailing address
11950 ERWIN ST APT 337, NORTH HOLLYWOOD, CA 91606
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
104508
CA
1223P0300X
Periodontics
34440
TX
Other
Enumeration date
08/22/2018
Last updated
02/23/2022
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