| Dora E Rodriguez Dmd Pa | |
|
9449 Sheridan Street Suite B Cooper City FL 33024 | |
| (954) 431-3025 | |
| (954) 431-3201 |
| Full Name | Dora E Rodriguez Dmd Pa |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 9449 Sheridan Street, Cooper City, Florida |
| Authorized Official Name and Position | Dora E Rodriguez (PRESIDENT) |
| Authorized Official Contact | 9544313025 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dora E Rodriguez Dmd Pa 9449 Sheridan Street Suite B Cooper City FL 33024 Ph: (954) 431-3025 | Dora E Rodriguez Dmd Pa 9449 Sheridan Street Suite B Cooper City FL 33024 Ph: (954) 431-3025 |
| NPI Number | 1083780084 |
|---|---|
| Provider Enumeration Date | 11/28/2006 |
| Last Update Date | 10/18/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083780084 | NPI | - | NPPES |
| 87192 | Other | FL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DN16833 (Florida) | Primary |
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