Sofia Rodriguez Dds, Inc.

NPI #1811497167 in Lake Forest, California

Provider Information

NPI Number: 1811497167
Entity Type: Organization
Organization Name: Sofia Rodriguez Dds, Inc.
Primary Specialty: Dentist
Enumeration Date: Feb 13, 2018
Last Updated: Feb 13, 2018

Practice Location

Address: 22942 RIDGE ROUTE DR STE 103
City: Lake Forest
State: California
ZIP Code: 92630-3693
Phone: (949) 305-9268

Authorized Official

Name: DR. SOFIA RODRIGUEZ
Title: PRESIDENT
Phone: (949) 294-0736

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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