| NPI | 1912067596 |
|---|---|
| Former Name | REBECCA SUSAN DORF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X2210X Dentist, Orofacial Pain (Licence: AZ D07361) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NY 039523-1) |
| 1223G0001X Dentist, General Practice (Licence: NJ 14922) | |
| 1223G0001X Dentist, General Practice (Licence: AZ D7361) | |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2022-11-29 |