Individual
DR. DENNIS MARK RAFFERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
700 19TH ST S, DEPT 160, BIRMINGHAM, AL 35233-1927
(205) 933-8101
(205) 558-4779
Mailing address
1420 CANYON LN, BIRMINGHAM, AL 35244-6575
(205) 933-8101
(205) 558-4779
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
4661
AL
Other
Enumeration date
07/18/2006
Last updated
07/08/2007
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