Individual
JOSE' RAFAEL RODRIGUEZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4320 WORNALL RD, SUITE 500, KANSAS CITY, MO 64111-5941
(816) 561-4555
(816) 561-3574
Mailing address
4320 WORNALL RD, SUITE 500, KANSAS CITY, MO 64111-5941
(816) 561-4555
(816) 561-3574
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
014973
MO
Other
Enumeration date
06/16/2006
Last updated
07/08/2007
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