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Individual

DR. ANDREW RABER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS, MSD

Contact information

Practice address
4315 COMMERCE DR, LAFAYETTE, IN 47905-3822
(765) 588-0217
Mailing address
6583 PENNAN CT, NOBLESVILLE, IN 46062-8458

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
12012295A
IN
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
10390
KY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12012295A
IN

Other

Enumeration date
06/08/2015
Last updated
01/06/2020
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