Individual
RACHEL TALIA GOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17 S WARREN ST, DOVER, NJ 07801-4506
(973) 328-3344
Mailing address
185 PASSAIC AVE, UNIT 12, PASSAIC, NJ 07055-4726
(718) 306-2153
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02678400
NJ
1223G0001X
General Practice Dentistry
22DI02678400
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/24/2017
Last updated
08/02/2017
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