Individual
DR. GINA M. TANIOS-RAFLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
646 HIGHWAY 18 BLDG B, SUITE 114, EAST BRUNSWICK, NJ 08816-3722
(732) 238-1760
(732) 390-6169
Mailing address
646 HIGHWAY 18 BLDG B, SUITE 114, EAST BRUNSWICK, NJ 08816-3722
(732) 238-1760
(732) 390-6169
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14423
NJ
Other
Enumeration date
10/17/2007
Last updated
02/19/2015
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