Individual
PATRICK JOSEPH RACZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17 LEVESQUE DR, ELIOT, ME 03903-1948
(207) 439-0779
Mailing address
70 PLEASANT ST, BRISTOL, NH 03222-3003
(603) 236-6233
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3825
ME
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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