Narda Rodriguez Dmd Inc | |
20671 Lake Forest Dr Ste B103 Lake Forest CA 92630-7746 | |
(305) 336-6475 | |
Not Available |
Full Name | Narda Rodriguez Dmd Inc |
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Speciality | Clinic/center - Dental |
Location | 20671 Lake Forest Dr Ste B103, Lake Forest, California |
Authorized Official Name and Position | Narda Rodriguez (GENERAL DENTIST / OWNER) |
Authorized Official Contact | 3053366475 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Narda Rodriguez Dmd Inc 20671 Lake Forest Dr Ste B103 Lake Forest CA 92630-7746 Ph: (305) 336-6475 | Narda Rodriguez Dmd Inc 20671 Lake Forest Dr Ste B103 Lake Forest CA 92630-7746 Ph: (305) 336-6475 |
NPI Number | 1528614633 |
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Provider Enumeration Date | 08/14/2019 |
Last Update Date | 08/14/2019 |
Identifier | Type | State | Issuer |
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1528614633 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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