Provider Demographics
NPI:1609350545
Name:LOW, RACHEL AB (DMD)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:AB
Last Name:LOW
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 74
Mailing Address - Street 2:
Mailing Address - City:BLUE DIAMOND
Mailing Address - State:NV
Mailing Address - Zip Code:89004-0074
Mailing Address - Country:US
Mailing Address - Phone:815-814-1068
Mailing Address - Fax:
Practice Address - Street 1:4301 E SUNSET RD STE 100
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89014-2238
Practice Address - Country:US
Practice Address - Phone:702-465-8187
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-17
Last Update Date:2022-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV71271223G0001X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice