Provider Demographics
NPI:1235349408
Name:GUDELMAN-SEGALL, RINA M (DDS)
Entity Type:Individual
Prefix:DR
First Name:RINA
Middle Name:M
Last Name:GUDELMAN-SEGALL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7232 REGENTS PARK BLVD
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43617-2247
Mailing Address - Country:US
Mailing Address - Phone:419-843-7232
Mailing Address - Fax:
Practice Address - Street 1:5012 TALMADGE RD STE 100
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43623-2168
Practice Address - Country:US
Practice Address - Phone:419-474-9611
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH19424122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist