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Individual

DR. JEFF CHARLES RAPHAEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
150 S HUNTINGTON AVE, BOSTON, MA 02130-4817
(857) 364-5124
(857) 364-2040
Mailing address
99 FURNACE ST, SHARON, MA 02067-2845
(781) 784-7269

Taxonomy

Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
5675
MD

Other

Enumeration date
08/23/2006
Last updated
07/08/2007
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