Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223P0221X | Pediatric Dentist | 019026342 | IL |
Y | 1223P0221X | Pediatric Dentist | 103092 | CA |
NPI | 1013092618 |
---|---|
Provider Name | Dr. Rachel Eulenberg Williams |
First Address | San Luis Obispo, CA 93401 |
Second Address | San Luis Obispo, CA 93401 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2006 |
Last Update Date | 29/08/2018 |