Individual
RICHARD ROBERT RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
531 ELM ST, NEW HAVEN, CT 06511-4549
(475) 800-0082
Mailing address
123 YORK ST APT 10D, NEW HAVEN, CT 06511-5624
(432) 853-1746
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13287
CT
Other
Enumeration date
12/01/2021
Last updated
12/01/2021
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