Pedro Eliud Rodriguez Lara

NPI #1497380828 in Talbott, Tennessee

Provider Information

NPI Number: 1497380828
Entity Type: Individual
Name: Pedro Eliud Rodriguez Lara
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Assistant
Enumeration Date: Mar 5, 2020
Last Updated: Mar 5, 2020

Practice Location

Address: 6350 W ANDREW JOHNSON HWY
City: Talbott
State: Tennessee
ZIP Code: 37877-8605
Phone: (423) 587-7337

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Assistant	126800000X	Primary

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