Individual
DR. GAMALIEL ISSAC RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2595 SAINT NICHOLAS DR, NORTH POLE, AK 99705-7747
(907) 490-0127
(907) 490-4649
Mailing address
2595 SAINT NICHOLAS DR, NORTH POLE, AK 99705-7747
(907) 490-0127
(907) 490-4649
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
AA828
AK
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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