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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. RASHIDAH TYNETTA WILEY, D.D.S.

Active

DR. RASHIDAH TYNETTA WILEY, D.D.S. is a Orthodontics & Dentofacial Orthopedics healthcare provider located in ELK GROVE, California. NPI 1578829974 is currently active in the NPPES registry. Verify at CMS.

Orthodontics & Dentofacial Orthopedics · ELK GROVE, CA

Registration Details

NPI Number
1578829974
Provider Type
Individual
Gender
Female
NPI Issued
Apr 10, 2012 (14.389666615234 yrs)
Last Updated
Jan 16, 2024
Licenses
DEN4597 (ME)
10225 (KY)
64355 (CA)

Practice Information

Address
2400 MARITIME DR
ELK GROVE, CA, 957583660
Browse CA providers · Browse ZIP 95758
Phone
9166868914
Primary Specialty
Orthodontics & Dentofacial Orthopedics
1223P0106X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.