| Thomas L Roderick, DDS | |
|
1166 K St, Brawley, CA 92227-2737 | |
| (760) 344-3583 | |
| (760) 344-8480 |
| Full Name | Thomas L Roderick |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 1166 K St, Brawley, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386752574 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 33655 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas L Roderick, DDS 2333 Camino Del Rio S, San Diego, CA 92108-3607 Ph: (619) 574-1810 | Thomas L Roderick, DDS 1166 K St, Brawley, CA 92227-2737 Ph: (760) 344-3583 |
Isamel Paul Yturralde, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1166 K St, Brawley, CA 92227 Phone: 760-344-3583 | |
Oshin Safarian, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 283 Main St Ste 102, Brawley, CA 92227 Phone: 760-344-3583 Fax: 760-344-8480 | |
Dr. Ronald C. Stillman, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 580 G St, Brawley, CA 92227 Phone: 760-344-1613 Fax: 760-351-2137 | |
Brian Shue, MD Dentist Medicare: Medicare Enrolled Practice Location: 1166 K St, Brawley, CA 92227 Phone: 760-344-9951 | |
Dr. Amadis J. Lugo, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 229 Main St Ste 101, Brawley, CA 92227 Phone: 760-344-5846 Fax: 760-344-7906 | |
Dr. Jaime Salas Dominguez, D.D.S Dentist Medicare: Medicare Enrolled Practice Location: 1166 K St, Brawley, CA 92227 Phone: 760-344-3583 Fax: 760-344-8480 |