Individual
DR. CRYSTAL RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2550 W UNION HILLS DR STE 201, PHOENIX, AZ 85027
(888) 833-8441
Mailing address
2550 W UNION HILLS DR STE 201, PHOENIX, AZ 85027-5171
(888) 833-8441
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D010156
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
439369
—
AZ
Enumeration date
09/21/2018
Last updated
04/01/2019
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