Sandra Rodriguez DDS INC

NPI #1386035251 in Lake Forest, California

Provider Information

NPI Number: 1386035251
Entity Type: Organization
Organization Name: Sandra Rodriguez DDS INC
Primary Specialty: Dentist
Enumeration Date: Feb 12, 2015
Last Updated: Feb 12, 2015

Practice Location

Address: 20025 LAKE FOREST DR STE 105
City: Lake Forest
State: California
ZIP Code: 92630-8716
Phone: (949) 916-8922

Authorized Official

Name: SANDRA RODRIGUEZ, DDS
Title: OWNER
Phone: (949) 916-8922

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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