Individual
DR. J. DOUGLAS RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1723 E LINCOLN AVE, SUNNYSIDE, WA 98944-2478
(509) 837-4022
(509) 839-4022
Mailing address
1723 E LINCOLN AVE, SUNNYSIDE, WA 98944-2478
(509) 837-4022
(509) 839-4022
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00007707
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5023783
—
WA
Enumeration date
11/21/2006
Last updated
06/25/2013
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