| Raul A. Rodriguez DDS Inc. | |
|
9986 Bloomington Bloomington CA 92316 | |
| (909) 877-8899 | |
| (909) 877-8897 |
| Full Name | Raul A. Rodriguez DDS Inc. |
|---|---|
| Speciality | Dentist |
| Location | 9986 Bloomington, Bloomington, California |
| Authorized Official Name and Position | Raul Alvarez Rodriguez (PRESIDENT) |
| Authorized Official Contact | 9098778899 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Raul A. Rodriguez DDS Inc. 9986 Bloomington Bloomington CA 92316 Ph: (909) 877-8899 | Raul A. Rodriguez DDS Inc. 9986 Bloomington Bloomington CA 92316 Ph: (909) 877-8899 |
| NPI Number | 1811195001 |
|---|---|
| Provider Enumeration Date | 07/10/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811195001 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 38357 (California) | Primary |
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