Individual
MARTINA ROFAEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(817) 805-0784
Mailing address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
40379
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/14/2023
Last updated
06/18/2024
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