| NPI | 1871563387 |
|---|---|
| Other Name | REBECCA MARIE ORTENZIO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: VA 0401414723) |
| Additional Taxonomies | 122300000X Dentist (Licence: MI 2901018139) |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL 25790) | |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2022-09-30 |