Marissa L Taber, RDH

NPI #1295045136 in Pulaski, New York

Provider Information

NPI Number: 1295045136
Entity Type: Individual
Name: Marissa L Taber, RDH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Credential: RDH
Enumeration Date: Oct 13, 2010
Last Updated: Oct 13, 2010

Practice Location

Address: 61 DELANO ST
City: Pulaski
State: New York
ZIP Code: 13142-1400
Phone: (315) 298-6815

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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