Individual
RAYMOND LEROY PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1730 8TH AVENUE, BALDWIN, WI 54002-0455
(715) 684-3264
Mailing address
PO BOX 455, BALDWIN, WI 54002-0455
(715) 684-3264
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
WI685G
WI
Other
Enumeration date
02/02/2007
Last updated
07/08/2007
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