Individual
MR. THOMAS WAYNE RIFENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS,MS
Contact information
Practice address
128 S 1ST AVE, ALPENA, MI 49707-2812
(989) 356-0556
Mailing address
128 S 1ST AVE, ALPENA, MI 49707-2812
(989) 727-2727
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
L96718
MI
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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