# TAHOE ORAL SURGERY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053870287
- **Authorized official:** DR. RACHEL LYNNE APPELBLATT DDS MD (GENERAL PARTNER)
- **Authorized official phone:** (916) 296-9006

## Contact information

- **Practice address:** 40165 TRUCKEE AIRPORT RD STE 303, TRUCKEE, CA 96161-4108
- **Practice address phone:** (530) 541-4042
- **Mailing address:** 40165 TRUCKEE AIRPORT RD STE 303, TRUCKEE, CA 96161-4108
- **Mailing address phone:** (530) 541-4042

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 03/18/2019
- **Last updated:** 03/18/2019