Organization
DR. S. MARK RAYBURG D.M.D. , INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN MARK RAYBURG D.M.D. (PRESIDENT)
(724) 335-9835
Entity
Organization
Contact information
Practice address
161 ALDER ST, LOWER BURRELL, PA 15068-3428
(724) 335-9835
(724) 335-9836
Mailing address
161 ALDER ST, LOWER BURRELL, PA 15068-3428
(724) 335-9835
(724) 335-9836
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS021045L
PA
Other
Enumeration date
05/01/2007
Last updated
08/22/2020
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