Individual
RACHAEL H TINGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD2324
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DD2324
DENTAL LICENSE
NM
Enumeration date
12/19/2005
Last updated
07/08/2007
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