Individual
ALEXANDRA ELENA RODRIGUEZ SENIOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
801 S PAULINA ST RM 202B, CHICAGO, IL 60612-7210
(734) 730-9930
Mailing address
801 S PAULINA ST RM 202B, CHICAGO, IL 60612-7210
(734) 730-9930
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
136000189
IL
Other
Enumeration date
08/30/2013
Last updated
08/30/2013
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