Provider Demographics
NPI:1235761008
Name:ESTRELLA AND RODRIGO DDS PLLC
Entity Type:Organization
Organization Name:ESTRELLA AND RODRIGO DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:VIVIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:VAZQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-244-0958
Mailing Address - Street 1:24815 US HIGHWAY 281 N STE 108
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-2601
Mailing Address - Country:US
Mailing Address - Phone:210-298-0800
Mailing Address - Fax:
Practice Address - Street 1:24815 US HIGHWAY 281 N STE 108
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-2601
Practice Address - Country:US
Practice Address - Phone:210-298-0800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-10
Last Update Date:2020-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty