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Individual

DR. D. WILLIAM RAFFENSPERGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
1026 MAIN ST., BLUE BALL, PA 17506-0175
(717) 354-2372
Mailing address
PO BOX 175, 1026 MAIN ST., BLUE BALL, PA 17506-0175
(717) 354-2372

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS021554L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
103312
UNITED CONCORDIA
PA
Enumeration date
06/26/2006
Last updated
04/04/2016
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