Individual
DR. JUAN RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
7300 NW 17TH ST APT 205, PLANTATION, FL 33313-5147
(561) 768-3607
Mailing address
7300 NW 17TH ST APT 205, PLANTATION, FL 33313-5147
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN21593
FL
Other
Enumeration date
02/09/2016
Last updated
02/09/2016
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