Fernan Rodriguez, DDS, MS Valid NPI
Individual provider · Orthodontics and Dentofacial Orthopedics Dentistry · Grand Prairie, TX
- NPI
- 1639298235
- Type
- Individual (Type 1)
- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223X0400X
- License number
- 21607 (TX)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2007-03-28
- Last updated
- 2015-11-17
Practice location
325 W Westchester Pkwy, Suite 100
Grand Prairie, TX 75052-2857
(972) 263-1755