| Sofia Rodriguez Dds, Inc. | |
|
22942 Ridge Route Dr Ste 103 Lake Forest CA 92630-3693 | |
| (949) 305-9268 | |
| Not Available |
| Full Name | Sofia Rodriguez Dds, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 22942 Ridge Route Dr Ste 103, Lake Forest, California |
| Authorized Official Name and Position | Sofia Rodriguez (PRESIDENT) |
| Authorized Official Contact | 9492940736 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sofia Rodriguez Dds, Inc. 24862 Hon Ave Laguna Hills CA 92653-4316 Ph: (949) 294-0736 | Sofia Rodriguez Dds, Inc. 22942 Ridge Route Dr Ste 103 Lake Forest CA 92630-3693 Ph: (949) 305-9268 |
| NPI Number | 1811497167 |
|---|---|
| Provider Enumeration Date | 02/13/2018 |
| Last Update Date | 02/13/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811497167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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