Individual
DR. MARK ERIC RAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
205 E MAIN ST, SHIREMANSTOWN, PA 17011-6396
(717) 763-5588
(717) 763-9812
Mailing address
205 E MAIN STREET, SHIREMANSTOWN, PA 17011-6396
(717) 763-5588
(717) 763-9812
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS021829L
PA
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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