Individual
MISS RACHELLE FAE TER HAAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.H.
Contact information
Practice address
120 S DENTON TAP RD STE 100, COPPELL, TX 75019-5029
(469) 635-1105
(972) 316-6029
Mailing address
1204 COLLEGE PKWY APT 727, LEWISVILLE, TX 75077-2887
(616) 886-6357
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
15498
TX
Other
Enumeration date
02/17/2009
Last updated
02/17/2009
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