Ricardo Rodriguez, DDS
Dentist, General Practice in Los Angeles, CA. Individual provider (NPI-1).
NPI number1487964367
StatusActive
Last updated in NPPESSep 7, 2011
Details
- NPI
- 1487964367
- Entity type
- Individual (NPI-1)
- Name
- Ricardo Rodriguez
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 13, 2010
- Last updated
- Sep 7, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 40880 | CA | Yes |
Practice location
4521 Whittier BlvdLos Angeles, CA 90022-2407
Phone 323-261-4838 · Fax 323-267-5915
Mailing address
4521 Whittier BlvdLos Angeles, CA 90022-2407
Phone 323-261-4838 · Fax 323-261-5915
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