Long, Racheal Marie

Long, Racheal Marie is an individual health care provider with primary practice located at 2133 Pepperrell St Bldg 3352 , Lackland Afb TX 78236-5313. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Long, Racheal Marie can be contacted via phone (210) 292-9053.

Contact Information

Primary practice address
2133 Pepperrell St Bldg 3352 Lackland Afb TX 78236-5313
Phone: (210) 292-9053
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DEN.00205197 Colorado

Profile Details

NPI number 1295474500
LBN Legal business name Long, Racheal Marie
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2022
Last updated May 13th, 2024 - about 4 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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