Individual
DR. MARK RAISOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
14001 E ILIFF AVE, SU. 303, AURORA, CO 80014-1405
(303) 337-7994
(303) 337-0719
Mailing address
1578 KEARNEY ST, DENVER, CO 80220-1543
(303) 388-4169
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7039
CO
Other
Enumeration date
07/03/2006
Last updated
07/08/2007
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