Individual
ELIANYS YOSELI MAVARES RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1890 N BROAD ST STE 100, FUQUAY VARINA, NC 27526-3657
(919) 295-2757
Mailing address
1890 N BROAD ST STE 100, FUQUAY VARINA, NC 27526-3657
(919) 586-8565
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14504
NC
Other
Enumeration date
02/24/2025
Last updated
12/23/2025
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