NPI 1124629373

Rafael R Rondon, RDH

Practitioner Dental Hygienist Tampa, FL

Practice location

Address: 5706 Benjamin Center Dr STE 103, Tampa, FL 33634-5262
Phone: (813) 288-1999
Mailing address: 6909 Beargrass Rd, Harmony, FL 34773-9182

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence DH16473 (FL)

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Registry record

NPI: 1124629373
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Nov 2020
Record last updated: 4 Nov 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.