Individual
DR. DIEGO ARMANDO RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
158 MAIN ST STE 101, AGAWAM, MA 01001-1803
(413) 207-0999
Mailing address
99 KNEELAND ST APT 506, BOSTON, MA 02111-2435
(787) 605-5790
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN1859153
MA
1223P0300X
Periodontics
Primary
DN1859153
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
PR
Other
Enumeration date
03/08/2019
Last updated
09/20/2024
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