| Martin & Rodriguez Dental Center Pllc | |
|
1723 E Lincoln Ave Sunnyside WA 98944-2478 | |
| (509) 837-4022 | |
| (509) 839-4022 |
| Full Name | Martin & Rodriguez Dental Center Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1723 E Lincoln Ave, Sunnyside, Washington |
| Authorized Official Name and Position | J Douglas Rodriguez (PARTNER) |
| Authorized Official Contact | 5098374022 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Martin & Rodriguez Dental Center Pllc 1723 E Lincoln Ave Sunnyside WA 98944-2478 Ph: (509) 837-4022 | Martin & Rodriguez Dental Center Pllc 1723 E Lincoln Ave Sunnyside WA 98944-2478 Ph: (509) 837-4022 |
| NPI Number | 1154385771 |
|---|---|
| Provider Enumeration Date | 04/12/2006 |
| Last Update Date | 04/25/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154385771 | NPI | - | NPPES |
| 5032123 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DE00007707 (Washington) | Primary |
| 1223G0001X | Dentist - General Practice | DE00005731 (Washington) | Secondary |
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