Individual
REBECCA BOONE TAFEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
139 SAINT MATTHEWS AVE, LOUISVILLE, KY 40207-3117
(502) 895-3774
Mailing address
2104 HIGH RIDGE RD, LOUISVILLE, KY 40207-1128
(502) 895-1999
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5723
KY
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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