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Contact Information

LUIS ACEVEDO RODRIGUEZ, DDS
4922 GROVE ST
MARYSVILLE, WA98270-4427
 Phone: 360-657-3091
 Fax: 360-657-5732
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
 

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for LUIS ACEVEDO RODRIGUEZ · (Male)

NPI # 1992114441
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 08/08/2014
Last updated 04/17/2026 - About 2 months ago
Sole proprietor 1 No
Identifiers
  • WA License # DE60486352
  • WA Medicaid 2037997
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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