Organization
BARRY D. RAPHAEL, DMD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRY D RAPHAEL DMD (PRESIDENT/ORTHODONTIST)
(973) 778-4222
Entity
Organization
Contact information
Practice address
1425 BROAD ST, CLIFTON, NJ 07013-4201
(973) 778-4222
(973) 778-9625
Mailing address
1425 BROAD ST, CLIFTON, NJ 07013-4201
(973) 778-4222
(973) 778-9625
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DI 12040
NJ
Other
Enumeration date
07/31/2006
Last updated
08/22/2020
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