| Sandra Rodriguez Dds Inc | |
|
20025 Lake Forest Dr Ste 105 Lake Forest CA 92630-8716 | |
| (949) 916-8922 | |
| (949) 916-8911 |
| Full Name | Sandra Rodriguez Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 20025 Lake Forest Dr Ste 105, Lake Forest, California |
| Authorized Official Name and Position | Sandra Rodriguez (OWNER) |
| Authorized Official Contact | 9499168922 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sandra Rodriguez Dds Inc 20025 Lake Forest Dr Ste 105 Lake Forest CA 92630-8716 Ph: (949) 916-8922 | Sandra Rodriguez Dds Inc 20025 Lake Forest Dr Ste 105 Lake Forest CA 92630-8716 Ph: (949) 916-8922 |
| NPI Number | 1386035251 |
|---|---|
| Provider Enumeration Date | 02/12/2015 |
| Last Update Date | 02/12/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386035251 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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