Organization
TAHOE ORAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RACHEL LYNNE APPELBLATT DDS MD (GENERAL PARTNER)
(916) 296-9006
Entity
Organization
Contact information
Practice address
40165 TRUCKEE AIRPORT RD STE 303, TRUCKEE, CA 96161-4108
(530) 541-4042
Mailing address
40165 TRUCKEE AIRPORT RD STE 303, TRUCKEE, CA 96161-4108
(530) 541-4042
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033353511
—
NY
05
—
1215073804
—
CA
Enumeration date
03/18/2019
Last updated
03/18/2019
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