Individual
DAVID MARK RAIFFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
916 KENMORE BLVD, AKRON, OH 44314-2113
(330) 753-8155
Mailing address
1019 N PARK AVE, WARREN, OH 44483-3725
(330) 395-3820
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019625
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0963631
—
OH
Enumeration date
02/07/2011
Last updated
12/22/2017
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