Jorge M Rodriguez

NPI #1356884555 in Ft Gordon, Georgia

Provider Information

NPI Number: 1356884555
Entity Type: Individual
Name: Jorge M Rodriguez
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Enumeration Date: Nov 21, 2016
Last Updated: Nov 21, 2016

Practice Location

Address: BLDG 38801 SUITE B&C
Address 2: USA DENTAL HEALTH ACTIVITY
City: Ft Gordon
State: Georgia
ZIP Code: 30905-5660
Phone: (706) 787-6927

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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