Individual
DR. REBECCA GARIN DIZON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
455 REVOLUTION ST, HAVRE DE GRACE, MD 21078-3330
(410) 939-3890
Mailing address
4302 CRAB ORCHARD RD, GLEN ARM, MD 21057-9752
(240) 687-8984
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13995
MD
Other
Enumeration date
05/18/2007
Last updated
12/19/2008
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