Individual
REBECCA RENEE RAFLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12013308A
IN
1223P0221X
Pediatric Dentistry
Primary
12013308A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
IN
Other
Enumeration date
06/19/2018
Last updated
08/05/2020
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