Individual
RODOLFO RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5124 S RIDGEWAY AVE, CHICAGO, IL 60632-3741
(773) 318-7764
Mailing address
5124 S RIDGEWAY AVE, CHICAGO, IL 60632-3741
(773) 318-7764
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.033387
IL
Other
Enumeration date
08/23/2021
Last updated
08/23/2021
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