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Individual

DEAN F RAIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1739-D NORTH OCEAN AVENUE, MEDFORD, NY 11763
(631) 447-8073
(631) 447-8026
Mailing address
1739-D NORTH OCEAN AVENUE, MEDFORD, NY 11763
(631) 447-8073
(631) 447-8026

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
046555
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01693241
NY
Enumeration date
08/04/2006
Last updated
07/08/2007
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