| NPI | 1568442622 |
|---|---|
| Former Name | RACHELLE MARIE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30.026285) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MT 2056) |
| 1223G0001X Dentist, General Practice (Licence: LA 5698) | |
| 1223G0001X Dentist, General Practice (Licence: FL DN25639) | |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2023-02-13 |