Whalio Doctors

NPI 1497380828

Pedro Eliud Rodriguez Lara

Practitioner Dental Assistant Talbott, TN

Practice location

Address
6350 W Andrew Johnson Hwy, Talbott, TN 37877-8605
Phone
(423) 587-7337
Fax
(423) 586-0614
Mailing address
1923 Sulphur Springs Rd, Morristown, TN 37813-5654

Registered specialties

Dental Assistant Primary
Dental Providers Taxonomy 126800000X

Registry record

NPI
1497380828
Entity type
Individual
Sex (as registered)
Male
NPI issued
5 Mar 2020
Record last updated
5 Mar 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.