Most Relevant Information
Provider Data
| NPI Number: | 1003054370 |
| Provider Name: | RACHEL IOSPA DMD |
| Entity Type: | Individual |
| Taxonomy Code: | 1223P0221X |
| Specialty: | Dentist |
| License Number: | 054140 |
Most Important Dates
| Enumeration Date: | 01/26/2009 |
| Last Updated: | 01/13/2015 |
Provider Practice Location
39 HEINZ AVE
STATEN ISLAND
NY
103083329
Practice Location Phone/Fax
| Phone: | 3477821889 |
| Fax: |
Provider Mailing Location
39 HEINZ AVE
STATEN ISLAND
NY
103083329
Provider Mailing Phone/Fax
| Phone: | 3477821889 |
| Fax: |