Individual
DR. MARIA GABRIELA RODRIGUEZ MANTILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
232 E KNOXVILLE ST, BRIMFIELD, IL 61517-8178
(309) 320-8750
Mailing address
1362 CASTLE CREEK CIR, CASTLE ROCK, CO 80104-2253
(720) 308-6726
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019035401
IL
Other
Enumeration date
07/24/2024
Last updated
07/24/2024
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