| Kristan D Rodriguez Dds Llc | |
|
15962 Sw Tualatin Sherwood Rd Sherwood OR 97140-8690 | |
| (503) 625-3767 | |
| Not Available |
| Full Name | Kristan D Rodriguez Dds Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 15962 Sw Tualatin Sherwood Rd, Sherwood, Oregon |
| Authorized Official Name and Position | Kristan Rodriguez (DENTIST) |
| Authorized Official Contact | 9712800498 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kristan D Rodriguez Dds Llc 15962 Sw Tualatin Sherwood Rd Sherwood OR 97140-8690 Ph: (503) 625-3767 | Kristan D Rodriguez Dds Llc 15962 Sw Tualatin Sherwood Rd Sherwood OR 97140-8690 Ph: (503) 625-3767 |
| NPI Number | 1265268494 |
|---|---|
| Provider Enumeration Date | 09/12/2024 |
| Last Update Date | 09/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265268494 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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