Individual
DR. CHRISTINE RAYBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2608 S LAMAR BLVD STE 101, OXFORD, MS 38655-5243
(662) 281-8455
(154) 618-2538
Mailing address
403 NORTH THIRD STREET, BOONEVILLE, MS 38829
(662) 728-8171
(662) 728-1093
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3241-02
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03253066
—
MS
Enumeration date
11/30/2006
Last updated
11/14/2023
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