# DR. RACHAEL D GANDOLPH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1235158221
- **Gender:** F
- **Credential:** DDS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 12011087A | IN | Yes |
| 122300000X | Dentist | 2006015360 | MO | — |
| 122300000X | Dentist | 60388 | KS | — |

## Other

- **Enumeration date:** 07/19/2006
- **Last updated:** 02/17/2023