Rebecca L Hart, DDS Valid NPI
Individual provider · Periodontics · Tustin, CA
- NPI
- 1275788994
- Type
- Individual (Type 1)
- Primary specialty
- Periodontics (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223P0300X
- License number
- 55308 (CA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2008-11-21
- Last updated
- 2010-08-04
Practice location
12569 Newport Avenue
Tustin, CA 92780
(714) 544-2220