Provider Demographics
NPI:1013092618
Name:WILLIAMS, RACHEL EULENBERG (DDS)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:EULENBERG
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:620 CALIFORNIA BLVD
Mailing Address - Street 2:SUITE G
Mailing Address - City:SAN LUIS OBISPO
Mailing Address - State:CA
Mailing Address - Zip Code:93401
Mailing Address - Country:US
Mailing Address - Phone:805-592-2020
Mailing Address - Fax:805-592-2022
Practice Address - Street 1:620 CALIFORNIA BLVD
Practice Address - Street 2:SUITE G
Practice Address - City:SAN LUIS OBISPO
Practice Address - State:CA
Practice Address - Zip Code:93401
Practice Address - Country:US
Practice Address - Phone:805-592-2020
Practice Address - Fax:805-592-2022
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2018-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0190263421223P0221X
CA1030921223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry