Provider Demographics
NPI:1518171586
Name:SQUIER, RACHEL S (DMD)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:S
Last Name:SQUIER
Suffix:
Gender:F
Credentials:DMD
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Other - Credentials:
Mailing Address - Street 1:1801 SE HILLMOOR DR STE C-210
Mailing Address - Street 2:TREASURE COAST PROSTHODONTICS
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34952-7574
Mailing Address - Country:US
Mailing Address - Phone:772-337-2338
Mailing Address - Fax:772-337-2339
Practice Address - Street 1:1801 SE HILLMOOR DR STE C-210
Practice Address - Street 2:TREASURE COAST PROSTHODONTICS
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34952-7574
Practice Address - Country:US
Practice Address - Phone:772-337-2338
Practice Address - Fax:772-337-2339
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-09
Last Update Date:2007-08-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT0090141223P0700X
FLDN 177381223P0700X
MA215171223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics