Individual
DR. RACHEL ELIZABETH REICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2107 5TH STREET HOLLOW RD, BLOOMSBURG, PA 17815-8977
(570) 387-1243
Mailing address
2107 5TH STREET HOLLOW RD, BLOOMSBURG, PA 17815-8977
(570) 387-1243
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS039004
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DS039004
PENNSYLVANIA STATE BOARD OF DENTISTRY
PA
Enumeration date
07/04/2012
Last updated
07/04/2012
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