# RAINES DENTAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376926618
- **Authorized official:** JASON RAINES (OWNER)
- **Authorized official phone:** (908) 770-1506

## Contact information

- **Practice address:** 4 BURTON LN, SUITE 200, MULLICA HILL, NJ 08062-9422
- **Practice address phone:** (908) 770-1506
- **Mailing address:** 1328 GREENE LN, CHERRY HILL, NJ 08003-1146
- **Mailing address phone:** (908) 770-1506

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 22DI02500500 | NJ | Yes |

## Other

- **Enumeration date:** 07/06/2015
- **Last updated:** 07/06/2015