Individual
MRS. NINA MARIE RUPERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHDHP
Contact information
Practice address
217 KING STREET, LAPERTE, PA 18626
(570) 946-4363
(570) 946-4845
Mailing address
557 BUCKHILL RD., MUNCY, PA 17756
(570) 916-1143
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
PHDH000218
PA
124Q00000X
Dental Hygienist
Primary
DH-013595-L
PA
Other
Enumeration date
03/27/2023
Last updated
03/27/2023
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