Individual
FIDEL RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
9790 SW 8TH ST, MIAMI, FL 33174-2902
(305) 554-9797
Mailing address
8150 SW 72ND AVE, MIAMI, FL 33143-7744
(786) 286-6488
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN25303
FL
Other
Enumeration date
08/20/2020
Last updated
08/20/2020
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