Individual
DR. RAYMOND E. CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4320 GENESEE AVE STE 207, SAN DIEGO, CA 92117-4900
(858) 277-3910
(858) 277-3258
Mailing address
4320 GENESEE AVE STE 207, SAN DIEGO, CA 92117-4900
(858) 277-3910
(858) 277-3258
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
25869
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
25869
CA
1223X2210X
Orofacial Pain Dentistry
25869
CA
Other
Enumeration date
02/05/2007
Last updated
04/18/2024
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