Thomas L Roderick, DDS

NPI #1386752574 in Brawley, California

Provider Information

NPI Number: 1386752574
Entity Type: Individual
Name: Thomas L Roderick, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Aug 28, 2006
Last Updated: Mar 23, 2016

Practice Location

Address: 1166 K ST
City: Brawley
State: California
ZIP Code: 92227-2737
Phone: (760) 344-3583

Specialties & Taxonomy Codes

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

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