Provider Demographics
NPI:1083948673
Name:RODRIGUEZ, FRANCISCO RAMON (DMD)
Entity Type:Individual
Prefix:DR
First Name:FRANCISCO
Middle Name:RAMON
Last Name:RODRIGUEZ
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9181 TOPAZ ST
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031-1344
Mailing Address - Country:US
Mailing Address - Phone:787-363-1859
Mailing Address - Fax:
Practice Address - Street 1:400 S MAPLE AVE
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22046-4241
Practice Address - Country:US
Practice Address - Phone:703-752-4253
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-29
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014142201223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice