Luz Mariamne Rodriguez, DMD
Dentist, General Practice in Alpharetta, GA. Individual provider (NPI-1).
NPI number1982198990
StatusActive
Last updated in NPPESJun 22, 2018
Details
- NPI
- 1982198990
- Entity type
- Individual (NPI-1)
- Name
- Luz Mariamne Rodriguez
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 22, 2018
- Last updated
- Jun 22, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DN015698 | GA | Yes |
Practice location
12460 Crabapple Rd Ste 801Alpharetta, GA 30004-6391
Phone 770-360-9131
Mailing address
2985 Kaley Dr NwKennesaw, GA 30152-2678
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