Elizabeth Dental 77 PC
NPI #1427738848 in Elizabeth, New Jersey
Provider Information
- NPI Number
- 1427738848
- Entity Type
- Organization
- Organization Name
- Elizabeth Dental 77 PC
- Primary Specialty
- Dentist
- Enumeration Date
- Jul 20, 2023
- Last Updated
- Jul 20, 2023
Practice Location
- Address
- 230 W JERSEY STREET
- Address 2
- SUITE L 6
- City
- Elizabeth
- State
- New Jersey
- ZIP Code
- 07202-1380
- Phone
- (908) 352-2313
Authorized Official
- Name
- DR. RAFAEL D RODRIGUEZ, DDS
- Title
- PRESIDENT
- Phone
- (908) 352-2313
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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