Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 122300000X | Dentist | XXXXXXXXXX | MA |
Y | 1223P0221X | Pediatric Dentist | DN24084 | FL |
NPI | 1053849232 |
---|---|
Provider Name | Dr. Dorothy Cataldo |
First Address | Dover, NH 03820-4279 |
Second Address | Dover, NH 03820-4279 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2017 |
Last Update Date | 28/06/2019 |