Individual
SHEREA BOWDEN RACHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3439 MCGEHEE RD STE 22B, MONTGOMERY, AL 36111-3392
(334) 288-1868
(334) 288-1825
Mailing address
PO BOX 12848, ALEXANDRIA, LA 71315
(318) 542-4004
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5913
LA
122300000X
Dentist
D-0006849-C
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5913
LOUISIANA DENTAL LICENSE
LA
Enumeration date
07/21/2008
Last updated
03/25/2021
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