Individual
DR. JEFFREY J. RAYMOND JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
525 HIGH ST, LOCK HAVEN, PA 17745-3036
(570) 748-5303
Mailing address
525 HIGH ST, LOCK HAVEN, PA 17745-3036
(570) 748-5303
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS037403
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/09/2008
Last updated
07/28/2008
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