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Individual

DR. DANIEL MORGAN RAIFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
706 WEST KING ST, KINGS MOUNTAIN, NC 28086
(704) 739-3601
(704) 739-0800
Mailing address
127 N TRYON ST, UNIT 615, CHARLOTTE, NC 28202-1170
(704) 375-2252
(704) 338-1640

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3713
NC
1223G0001X
General Practice Dentistry
DN007919
GA
1223G0001X
General Practice Dentistry
PN6964
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7997231
NC
Enumeration date
08/30/2006
Last updated
07/08/2007
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