Roberta Rodriguez

NPI #1356825186 in Penasco, New Mexico

Provider Information

NPI Number: 1356825186
Entity Type: Individual
Name: Roberta Rodriguez
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Enumeration Date: Sep 18, 2018
Last Updated: Sep 18, 2018

Practice Location

Address: 15136 ST HWY 75
City: Penasco
State: New Mexico
ZIP Code: 87553
Phone: (575) 587-2809

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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