| NPI | 1417366998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCISCO JOSE RODRIGUEZ Pediatric Dentist 618-334-6833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry |
| Enumeration Date | 2014-08-08 |
| Last Update Date | 2014-08-08 |