Individual
DR. RAYMOND EDWARD BERNOTAS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
113 S MAIN ST, MANSFIELD, OH 44902-7903
(419) 524-1512
Mailing address
113 S MAIN ST, MANSFIELD, OH 44902-7903
(419) 524-1512
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16722
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0497252
—
OH
Enumeration date
06/08/2006
Last updated
07/08/2007
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