Individual
RACHAEL R HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
17395 RESERVATION RD, LA CONNER, WA 98257-8802
(360) 466-3900
(360) 466-7301
Mailing address
PO BOX 332, 17395 RESERVATION RD, LA CONNER, WA 98257-0332
(360) 466-3900
(360) 466-7301
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00009338
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0174706
LABOR AND INDUSTRIES
WA
05
—
5044490
—
WA
Enumeration date
11/08/2006
Last updated
07/30/2013
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