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Individual

DR. JESSICA RODRIGUES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
1209 N RETAIL CT, MYRTLE BEACH, SC 29577-9626
(843) 874-4060
Mailing address
2942 HIGHWAY 90, CONWAY, SC 29526-9602
(209) 373-9512

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11343
SC
1223G0001X
General Practice Dentistry
Primary
22DI03098900
NJ

Other

Enumeration date
06/13/2025
Last updated
05/24/2026
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