Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 126800000X | Dental Assistant |
NPI | 1013435320 |
---|---|
Provider Name | Jorge Israel Felix Rodriguez |
First Address | Bremerton, WA 98312-1894 |
Second Address | Bremerton, WA 98312-1894 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/09/2017 |
Last Update Date | 07/09/2017 |