Individual
DALE F RODRIQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10661 S ROBERTS RD, PALOS HILLS, IL 60465-1954
(708) 974-3315
Mailing address
10661 S ROBERTS RD, PALOS HILLS, IL 60465-1954
(708) 974-3315
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019017363
IL
Other
Enumeration date
05/30/2012
Last updated
05/30/2012
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