Individual
FABIAN ANDRES RODRIGUEZ HIDALGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
31620 SCHOOLCRAFT RD, LIVONIA, MI 48150-1819
(734) 261-7800
Mailing address
31620 SCHOOLCRAFT RD, LIVONIA, MI 48150-1819
(734) 261-7800
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901601612
MI
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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