Individual
RACHEL ANNE MOONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2450 PEPPERRELL ST, 59 DTS - MRDE, LACKLAND A F B, TX 78236-5345
(210) 292-6258
Mailing address
PSC 819 BOX 4413, FPO, AE 09645
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
5187
LA
Other
Enumeration date
01/12/2006
Last updated
07/23/2020
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