Rodrigueztapia, Angel

Rodrigueztapia, Angel is an individual health care provider with primary practice located at 962 1St Infantry Division Rd Jordan Dental Clinic Bldg 2724, Fort Knox KY 40121-5210. He recently has only one registered license in Dental Providers / Dental Assistant, which is considered as his primary health care specialty. Rodrigueztapia, Angel can be contacted via phone (502) 626-8301.

Contact Information

Primary practice address
962 1St Infantry Division Rd Jordan Dental Clinic Bldg 2724 Fort Knox KY 40121-5210
Fax: (502) 626-8300
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X

Profile Details

NPI number 1003362559
LBN Legal business name Rodrigueztapia, Angel
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2016
Last updated Aug 25th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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