Provider Demographics
NPI:1578558367
Name:MYAING-MISFELDT, RACHEL (DDS)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:
Last Name:MYAING-MISFELDT
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2124 SAND DOLLAR DR
Mailing Address - Street 2:BAYFRONT
Mailing Address - City:RICHMOND
Mailing Address - State:CA
Mailing Address - Zip Code:94804-7483
Mailing Address - Country:US
Mailing Address - Phone:510-620-1706
Mailing Address - Fax:
Practice Address - Street 1:U.S. NAVAL HOSPITAL NAPLES
Practice Address - Street 2:DENRAL CLINIC, PSC 827
Practice Address - City:FPO
Practice Address - State:AE
Practice Address - Zip Code:09617
Practice Address - Country:IT
Practice Address - Phone:39081-811-6008
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA46503122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist