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NPI Code Detail

MEDICARE: ISABEL RODRIQUEZ RDH

MEDICARE:   ISABEL  RODRIQUEZ  RDH
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
1124Q00000XDental Hygienist5757AZ

General Provider Information

NPI Number : 1033322961
Entity Type Code : Individual
Provider Name (Legal Business Name) : ISABEL RODRIQUEZ RDH
Provider Business Mailing Address
First Line : 2945 N. 40TH LANE
Second Line :
City : PHOENIX
State : AZ
Zip : 85019
Country : US
Telephone Number : 602-248-0434
Fax Number :
Provider Business Practice Location Address
First Line : 4015 N. 15TH AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85015
Country : US
Telephone Number : 602-248-0434
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2007
Last Update Date : 07/08/2007

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Directions to “ ISABEL RODRIQUEZ RDH” Practice Location

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