Individual
DR. RODNEY IDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
17542 IRVINE BLVD, SUITE # A, TUSTIN, CA 92780-3155
(714) 547-8494
(714) 547-3448
Mailing address
17542 IRVINE BLVD, SUITE # A, TUSTIN, CA 92780-3155
(714) 547-8494
(714) 547-3448
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
36250
CA
1223E0200X
Endodontics
Primary
CA36250
CA
Other
Enumeration date
02/28/2014
Last updated
07/21/2022
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