Individual
LUZ MARIAMNE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
12460 CRABAPPLE RD STE 801, ALPHARETTA, GA 30004-6391
(770) 360-9131
Mailing address
2985 KALEY DR NW, KENNESAW, GA 30152-2678
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN015698
GA
Other
Enumeration date
06/22/2018
Last updated
06/22/2018
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