Rachel Moore, RDH

NPI #1578951422 in Penasco, New Mexico

Provider Information

NPI Number: 1578951422
Entity Type: Individual
Name: Rachel Moore, RDH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Credential: RDH
Enumeration Date: Dec 30, 2014
Last Updated: Dec 30, 2014

Practice Location

Address: 15136 ST. RD. 75
Address 2: EL CENTRO FAMILY HEALTH PENASCO DENTAL CLINIC
City: Penasco
State: New Mexico
ZIP Code: 87553-0516
Phone: (575) 587-2809

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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