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Organization
WARREN DENTAL GROUP, DAVID M RAIFFE, DDS, MBA, INC
Active
Organization
WARREN DENTAL GROUP, DAVID M RAIFFE, DDS, MBA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID M RAIFFE DDS (OWNER/DENTIST)
(330) 395-3820
Entity
Organization
Contact information
Practice address
1019 N PARK AVE, WARREN, OH 44483-3725
(330) 395-3820
Mailing address
7601 ROYAL PORTRUSH DR, SOLON, OH 44139-5256
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019625
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0963631
—
OH
Enumeration date
03/28/2013
Last updated
03/28/2013
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