Individual
DR. ANGEL RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
3806 E BROAD ST STE 108, MANSFIELD, TX 76063-5621
(817) 842-2600
Mailing address
8012 COLFAX LN, FORT WORTH, TX 76134-5314
(817) 914-2766
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
32222
TX
Other
Enumeration date
08/15/2016
Last updated
08/15/2016
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