Kristan D Rodriguez DDS LLC

NPI #1265268494 in Sherwood, Oregon

Provider Information

NPI Number: 1265268494
Entity Type: Organization
Organization Name: Kristan D Rodriguez DDS LLC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Sep 12, 2024
Last Updated: Sep 12, 2024

Practice Location

Address: 15962 SW TUALATIN SHERWOOD RD
City: Sherwood
State: Oregon
ZIP Code: 97140-8690
Phone: (503) 625-3767

Authorized Official

Name: KRISTAN RODRIGUEZ
Title: DENTIST
Phone: (971) 280-0498

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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