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Individual
DR. GINA MARIE RAKOSKY OBER
Active
Individual
DR. GINA MARIE RAKOSKY OBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS031328L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10287498600001
—
PA
01
—
529406
UCCI
PA
Enumeration date
11/27/2006
Last updated
01/06/2015
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