Individual
DR. RACHAEL D GANDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2340 E 10TH ST, INDIANAPOLIS, IN 46201-2008
(317) 782-2127
Mailing address
3403 E RAYMOND ST, INDIANAPOLIS, IN 46203-4744
(317) 989-7562
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12011087A
IN
122300000X
Dentist
2006015360
MO
122300000X
Dentist
60388
KS
Other
Enumeration date
07/19/2006
Last updated
02/17/2023
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