Individual
EILEEN RAYWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
3405 W PURDUE AVE, MUNCIE, IN 47304-5268
(765) 288-1902
(765) 288-3829
Mailing address
3405 W PURDUE AVE, MUNCIE, IN 47304-5268
(765) 288-1902
(765) 288-3829
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12008819
IN
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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