Jose' R. Rodriguez, D.d.s., P.a.

NPI #1053356956 in Shawnee Mission, Kansas

Provider Information

NPI Number: 1053356956
Entity Type: Organization
Organization Name: Jose' R. Rodriguez, D.d.s., P.a.
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 17, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 12480 W 62ND TER
Address 2: SUITE 200
City: Shawnee Mission
State: Kansas
ZIP Code: 66216-1810
Phone: (913) 631-5600

Authorized Official

Name: JOSE' RAFAEL RODRIGUEZ, D.D.S.
Title: OWNER/PRESIDENT
Phone: (913) 631-5600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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