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Ashley Rodriguez, DMD

Dentist in Melrose Park, IL. Individual provider (NPI-1).

NPI number1982201505
StatusActive
Last updated in NPPESOct 6, 2020

Details

NPI
1982201505
Entity type
Individual (NPI-1)
Name
Ashley Rodriguez
Credential
DMD
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 6, 2020
Certification date
Sep 28, 2020
Last updated
Oct 6, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist019032904ILYes
1223G0001X Dentist, General Practice019032904IL

Practice location

2208 N Mannheim Rd
Melrose Park, IL 60164-1837

Phone 847-451-7777

Mailing address

2208 N Mannheim Rd
Melrose Park, IL 60164-1837

Phone 847-451-7777

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