NPI | 1962497412 |
---|---|
Former Name | RACHAEL J SCHAWEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: TX 30632) |
Additional Taxonomies | 122300000X Dentist (Licence: OR D9866) |
122300000X Dentist (Licence: ID D3823) | |
122300000X Dentist (Licence: WA DE00010834) | |
Enumeration Date | 2005-09-12 |
Last Update Date | 2018-11-21 |