Iveliss Rodriguez, DMD

NPI #1962971200 in Sunrise, Florida

Provider Information

NPI Number: 1962971200
Entity Type: Individual
Name: Iveliss Rodriguez, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - Periodontics
Credential: DMD
Enumeration Date: Nov 15, 2018
Last Updated: Jul 7, 2020

Practice Location

Address: 12801 W SUNRISE BLVD # F222
City: Sunrise
State: Florida
ZIP Code: 33323-4020
Phone: (954) 846-7171

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Dentist - Periodontics — Periodontics	1223P0300X	Primary

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