Individual
RACHELLE MELISA COCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4111 CLOCK TOWER AVE, CALDWELL, ID 83607-5006
(208) 314-2780
Mailing address
6480 PINGREE WAY, YORBA LINDA, CA 92887-3253
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D-5433
ID
Other
Enumeration date
07/07/2022
Last updated
07/07/2022
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