Provider Demographics
NPI:1942309596
Name:RODRIGUEZ, MARGARITA (DMD)
Entity Type:Individual
Prefix:DR
First Name:MARGARITA
Middle Name:
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:169 KENSINGTON WAY
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-4315
Mailing Address - Country:US
Mailing Address - Phone:561-596-0950
Mailing Address - Fax:561-969-0993
Practice Address - Street 1:4801 S CONGRESS AVE
Practice Address - Street 2:SUITE #202
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33461-4746
Practice Address - Country:US
Practice Address - Phone:561-969-2696
Practice Address - Fax:561-969-0993
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2008-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN1773311223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice