| NPI | 1427124692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH ROSA RODRIGUEZ BEC Dentis Owner 304-445-8707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN12053) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-08-22 |