Organization
RAYMOND A. SKINNER DDS, MS, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND A SKINNER DDS (PERIODONTIST)
(602) 266-5896
Entity
Organization
Contact information
Practice address
1277 E. MISSOURI #102, PHOENIX, AZ 85014
(602) 266-5896
(602) 864-6114
Mailing address
1277 E. MISSOURI #102, PHOENIX, AZ 85014
(602) 266-5896
(602) 864-6114
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
1924
AZ
Other
Enumeration date
08/20/2006
Last updated
08/22/2020
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