| Jose' R. Rodriguez, D.d.s., P.c. | |
|
4320 Wornall Rd Suite 500 Kansas City MO 64111-5941 | |
| (816) 561-4555 | |
| (816) 561-3574 |
| Full Name | Jose' R. Rodriguez, D.d.s., P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4320 Wornall Rd, Kansas City, Missouri |
| Authorized Official Name and Position | Jose' Rafael Rodriguez (OWNER/PRESIDENT) |
| Authorized Official Contact | 8165614555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jose' R. Rodriguez, D.d.s., P.c. 4320 Wornall Rd Suite 500 Kansas City MO 64111-5941 Ph: (816) 561-4555 | Jose' R. Rodriguez, D.d.s., P.c. 4320 Wornall Rd Suite 500 Kansas City MO 64111-5941 Ph: (816) 561-4555 |
| NPI Number | 1699716506 |
|---|---|
| Provider Enumeration Date | 06/10/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699716506 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 014973 (Missouri) | Primary |
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