Organization
JERROLD N RAAB DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERROLD NATHAN RAAB DDS (DENTIST PRESIDENT)
(413) 528-6520
Entity
Organization
Contact information
Practice address
549 RTE 23, MONTERRY, MA 01245
(413) 528-6520
Mailing address
PO BOX 522, RTE 23, MONTERRY, MA 01245
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15788
MA
Other
Enumeration date
03/20/2008
Last updated
03/20/2008
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