Individual
DAI LAO RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1828 W FOSTER AVE, STO E, CHICAGO, IL 60640-1479
(872) 250-5387
Mailing address
313 W WOLF POINT PLZ UNIT 5302, CHICAGO, IL 60654-8916
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.036568
IL
Other
Enumeration date
10/09/2025
Last updated
10/09/2025
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