Organization
DENTAL PM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAFAEL D RODRIGUEZ DDS (CEO)
(201) 737-7283
Entity
Organization
Contact information
Practice address
175 MARKET ST, 3RD FLOOR, PATERSON, NJ 07505-1728
(201) 737-7283
Mailing address
4532 KENNEDY BLVD, UNION CITY, NJ 07087-2707
(201) 737-7283
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02512900
NJ
Other
Enumeration date
10/09/2015
Last updated
07/20/2023
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