Individual
MS. REBECCA LEE POLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2386 JEROME AVE, BRONX, NY 10468-6401
(917) 972-0304
(646) 217-3024
Mailing address
1120 HUFFMAN RD, STE 23, PMB 655, ANCHORAGE, AK 99515-3516
(907) 903-2830
(646) 217-3024
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
054812
NY
Other
Enumeration date
08/13/2010
Last updated
08/13/2010
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