Provider Demographics
NPI:1205477338
Name:CAHAL, RHONDA
Entity type:Individual
Prefix:
First Name:RHONDA
Middle Name:
Last Name:CAHAL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2122 S 8TH ST
Mailing Address - Street 2:
Mailing Address - City:IRONTON
Mailing Address - State:OH
Mailing Address - Zip Code:45638-2598
Mailing Address - Country:US
Mailing Address - Phone:740-533-0565
Mailing Address - Fax:
Practice Address - Street 1:2122 S 8TH ST
Practice Address - Street 2:
Practice Address - City:IRONTON
Practice Address - State:OH
Practice Address - Zip Code:45638-2598
Practice Address - Country:US
Practice Address - Phone:740-533-0565
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-30
Last Update Date:2019-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHDH-8544126800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes126800000XDental ProvidersDental Assistant