Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0221X | Pediatric Dentist | 9458 | CT |
NPI | 1093873127 |
---|---|
Provider Name | Christine D Dowling |
First Address | Somers, NY 10589-2628 |
Second Address | Somers, NY 10589-2628 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/12/2006 |
Last Update Date | 12/08/2015 |