| NPI | 1689914921 |
|---|---|
| Former Name | RACHAEL TYLER SMOOT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CO DEN.00204420) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: LA 7162) |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: FL DN24039) | |
| Enumeration Date | 2013-02-24 |
| Last Update Date | 2021-05-14 |