Individual
COLDEN DOUGLAS RAINES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
603 CLINTON AVE, NEWARK, NJ 07108
(973) 824-7409
(973) 824-7430
Mailing address
603 CLINTON AVE, NEWARK, NJ 07108
(973) 824-7409
(973) 824-7430
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22D101769300
NJ
Other
Enumeration date
10/23/2006
Last updated
08/27/2013
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