Basic Information
| Provider Information | |||||||||
| NPI: | 1386236594 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | FINSETH | ||||||||
| FirstName: | RACHELL | ||||||||
| MiddleName: | LEE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2322 WILBER RD | ||||||||
| Address2: | |||||||||
| City: | EAST TAWAS | ||||||||
| State: | MI | ||||||||
| PostalCode: | 487309710 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 5671 N SKEEL AVE STE 8 | ||||||||
| Address2: | |||||||||
| City: | OSCODA | ||||||||
| State: | MI | ||||||||
| PostalCode: | 487501535 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9897397927 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/09/2021 | ||||||||
| LastUpdateDate: | 02/09/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 02/09/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 124Q00000X | 2902015286 | MI | Y | Dental Providers | Dental Hygienist |
No ID Information.