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Dr. Tyrone Fernando Rodriguez, DDS
Pediatric Dentist in Moses Lake, Washington
NPI 1366598880

Tyrone Fernando Rodriguez is a Pediatric Dentist based in Moses Lake, WA and is specialized in Pediatric Dentistry. Tyrone Fernando Rodriguez practices in Moses Lake, WA and has the professional credentials of DDS. The NPI Number for Tyrone Fernando Rodriguez is 1366598880 and holds a License No. DE00010610 (Washington).

The current practice location address for Tyrone Fernando Rodriguez is 825 Sharon Ave E, Moses Lake, WA and can be reached out via phone at 509-766-9030.

Location: 825 Sharon Ave E, Moses Lake, WA, 98837
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366598880
Provider Name
Tyrone Fernando Rodriguez
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
825 Sharon Ave E, Moses Lake, WA, 98837
Phone Number
509-766-9030
Fax Number
Provider Enumeration Date
01/26/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5051248 01 WA CHPW
911019392 01 COMMERCIAL
0212066 01 WA L & I
5051248 05 WA
institution
Provider Business Practice Location Address Details
Address
825 Sharon Ave E
City
Moses Lake
State
Washington
Zip
98837-2441
Phone Number
509-766-9030
Fax Number
person
Provider Business Mailing Address Details
Address
825 Sharon Ave E
City
Moses Lake
State
Washington
Zip
98837-2441
Phone Number
509-766-9030
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
DE00010610 (Washington)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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