Provider Demographics
NPI:1528816774
Name:RODRIGUEZ, ARIANA ALEJANDRA (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:ARIANA
Middle Name:ALEJANDRA
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:23430 HAWTHORNE BLVD STE 335
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-4654
Mailing Address - Country:US
Mailing Address - Phone:310-378-9626
Mailing Address - Fax:310-373-5272
Practice Address - Street 1:23430 HAWTHORNE BLVD STE 335
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-4654
Practice Address - Country:US
Practice Address - Phone:310-378-9626
Practice Address - Fax:310-373-5272
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-10
Last Update Date:2024-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1093711223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0700XDental ProvidersDentistProsthodonticsGroup - Single Specialty