Individual
DR. JUAN L RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
160 E CHEYENNE RD, COLORADO SPRINGS, CO 80906-2524
(719) 249-8775
Mailing address
19400 E 57TH AVE APT 102, AURORA, CO 80019-2911
(719) 930-9666
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN.00205585
CO
Other
Enumeration date
06/07/2023
Last updated
06/07/2023
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