Individual
ALEJANDRA CAROLINA RODRIGUEZ LICEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
706 MAIN ST, LIVINGSTON, CA 95334-1308
(209) 535-9933
Mailing address
3640 TUSCANY PL, TURLOCK, CA 95382-0362
(702) 576-6038
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
107385
CA
Other
Enumeration date
05/05/2022
Last updated
05/05/2022
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