Individual
ROBERT L RAYMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
125 E SWEDESFORD RD, SUITE 111, WAYNE, PA 19087-1463
(610) 687-0990
Mailing address
1915 CARPENTER ST, PHILADELPHIA, PA 19146-2614
(215) 668-1230
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DS030487L
PA
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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