Provider Demographics
NPI:1013151125
Name:RODRIGUEZ-CARDENAS, MARIA PILAR (DDS)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:PILAR
Last Name:RODRIGUEZ-CARDENAS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6620 108TH ST APT 3K
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-2228
Mailing Address - Country:US
Mailing Address - Phone:718-897-4805
Mailing Address - Fax:917-887-2003
Practice Address - Street 1:222 E 41ST ST FL 22
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-6739
Practice Address - Country:US
Practice Address - Phone:212-263-7552
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-21
Last Update Date:2019-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY038764-1122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist