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Individual

DR. STEVE OMAR RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
2990 S 6TH AVE, TUCSON, AZ 85713-4705
(520) 526-0578
Mailing address
16019 CHASE HILL BLVD, SAN ANTONIO, TX 78255-1153
(203) 993-0889

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
38386
TX
1223G0001X
General Practice Dentistry
Primary
D012088
AZ
1223G0001X
General Practice Dentistry
S-1090
LA
390200000X
Student in an Organized Health Care Education/Training Program
LA

Other

Enumeration date
12/13/2007
Last updated
04/11/2024
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