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General NPI Number Information
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NPI Number | 1255808648
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Entity Type | Organization
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Legal Business Name | A. RODRIGUEZ-CRUZ,DDS,INC.
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Dates
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Enumeration Date | 10/24/2018
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Last Update Date | 10/24/2018
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Provider Practice Location Address
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Address Line | 827 W VALLEY BLVD
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City | COLTON
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State | CA
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Zip | 92324-2001
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Country | US
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Telephone | 909-825-2175
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Fax | 909-825-0964
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Provider Business Mailing Address
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Address Line | 425 E ARROW HWY # 724
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City | GLENDORA
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State | CA
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Zip | 91740-5607
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Country | US
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Telephone | 909-825-2175
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Fax | 909-825-0964
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Authorized Official
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Title or Position | SECRETARY
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Name | MAYRA A CASTELLON
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Credential |
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Telephone | 909-825-2175
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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