NPI 1356884555

Jorge M Rodriguez

Practitioner Dental Hygienist Ft Gordon, GA

Practice location

Address: Bldg 38801 Suite B&c USA Dental Health Activity, Ft Gordon, GA 30905-5660
Phone: (706) 787-6927
Fax: (706) 787-2082

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X

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Registry record

NPI: 1356884555
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Nov 2016
Record last updated: 21 Nov 2016

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.