Individual
DR. ERNEST RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
141 CHESTNUT ST, ROSELLE PARK, NJ 07204-2261
(908) 245-1745
Mailing address
181 E SPRING VALLEY AVE, MAYWOOD, NJ 07607-2139
(201) 556-1565
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DI20857
NJ
Other
Enumeration date
09/15/2006
Last updated
07/08/2007
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