Organization
DAVID C. RAPHAEL, D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID COLEMAN RAPHAEL D.D.S. (OWNER)
(504) 888-9204
Entity
Organization
Contact information
Practice address
4432 CONLIN ST STE 1A, METAIRIE, LA 70006-2146
(504) 888-9204
(504) 888-4224
Mailing address
4432 CONLIN ST STE 1A, METAIRIE, LA 70006-2146
(504) 888-9204
(504) 888-4224
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2077
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1820776
—
LA
Enumeration date
02/22/2013
Last updated
02/22/2013
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