Individual
DR. MARY WEBSTER RACHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
518 DURHAM ST, BASTROP, LA 71220-5013
(318) 283-8887
Mailing address
2008 MILTON ST, MONROE, LA 71201-2651
(318) 737-9141
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6568
LA
Other
Enumeration date
05/27/2015
Last updated
05/27/2015
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