Individual
DR. ALEX AMMA RAUCHLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1608 PENNY LN, WALLA WALLA, WA 99362-4477
(415) 419-4481
Mailing address
1399 SW JULIA ST, COLLEGE PLACE, WA 99324-5501
(415) 419-4481
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
D11569
OR
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DE61230608
WA
Other
Enumeration date
06/04/2021
Last updated
08/07/2024
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