| Ivan Rodriguez, Dds Inc | |
|
2460 Mission St, Suite 222 San Francisco CA 94110 | |
| (415) 642-6777 | |
| (415) 642-6778 |
| Full Name | Ivan Rodriguez, Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 2460 Mission St, Suite 222, San Francisco, California |
| Authorized Official Name and Position | Vicky Lourdes Flores (OFFICE MANAGER) |
| Authorized Official Contact | 4156426777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ivan Rodriguez, Dds Inc 2460 Mission St, Suite 222 San Francisco CA 94110 Ph: (415) 642-6777 | Ivan Rodriguez, Dds Inc 2460 Mission St, Suite 222 San Francisco CA 94110 Ph: (415) 642-6777 |
| NPI Number | 1770912651 |
|---|---|
| Provider Enumeration Date | 11/01/2013 |
| Last Update Date | 12/10/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770912651 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 42219 (California) | Primary |
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