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NPI Code Detail

MEDICARE: DR. OLGA K RODRIGUEZ- VALLE DMD

MEDICARE: DR. OLGA K RODRIGUEZ- VALLE DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry5742NV

General Provider Information

NPI Number : 1326291675
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. OLGA K RODRIGUEZ- VALLE DMD
Provider Business Mailing Address
First Line : 6850 N DURANGO DR STE 420
Second Line :
City : LAS VEGAS
State : NV
Zip : 89149-4598
Country : US
Telephone Number : 702-518-5151
Fax Number : 702-799-9831
Provider Business Practice Location Address
First Line : 6850 N DURANGO DR STE 420
Second Line :
City : LAS VEGAS
State : NV
Zip : 89149-4598
Country : US
Telephone Number : 702-518-5151
Fax Number : 702-799-9831
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/30/2008
Last Update Date : 03/27/2024

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Directions to “ DR. OLGA K RODRIGUEZ- VALLE DMD” Practice Location

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