Organization
DAVID M. RAIFFE DDS MBA
Active
Other names
Kenmore Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID RIAFFE DDS (OWNER)
(330) 753-8155
Entity
Organization
Contact information
Practice address
916 KENMORE BLVD, AKRON, OH 44314-2113
(330) 753-8155
Mailing address
916 KENMORE BLVD, AKRON, OH 44314-2113
(330) 753-8155
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019625
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0963631
—
OH
Enumeration date
10/31/2011
Last updated
10/31/2011
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