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Individual

ELVIRA RODRIGUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
747 PONCE DE LEON BLVD STE 401, CORAL GABLES, FL 33134-2073
(305) 444-8591
Mailing address
210 FONTAINEBLEAU BLVD APT 511, MIAMI, FL 33172-4573

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN22847
FL

Other

Enumeration date
07/24/2017
Last updated
07/24/2017
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