Individual
MARILYN RODRIGUEZ-FERNANDINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1412 NE 88TH ST, VANCOUVER, WA 98665-9620
(360) 574-4074
(360) 574-9237
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
(206) 764-0112
(206) 764-0489
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00008203
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5029939
—
WA
Enumeration date
10/27/2006
Last updated
07/09/2007
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