Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 126800000X | Dental Assistant | DH-8544 | OH |
NPI | 1205477338 |
---|---|
Provider Name | Rhonda Cahal |
First Address | Ironton, OH 45638-2598 |
Second Address | Ironton, OH 45638-2598 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/09/2019 |
Last Update Date | 30/09/2019 |