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Organization

NEW CARLISLE FAMILY DENTAL - DAVID M RAIFFE DDS MBA INC

Active
Other names
New Carlisle Family Dental
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID M RAIFFE DDS (OWNER)
(937) 845-9422
Entity
Organization

Contact information

Practice address
203 E LAKE AVE, NEW CARLISLE, OH 45344-1465
(937) 845-9422
Mailing address
7601 ROYAL PORTRUSH DR, SOLON, OH 44139-5256

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19625
OH

Other

Enumeration date
06/21/2014
Last updated
06/21/2014
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