Individual
DR. LOUIS EDWARD RAVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
63 N HANOVER ST, POTTSTOWN, PA 19464
(610) 326-4470
Mailing address
63 N HANOVER ST, POTTSTOWN, PA 19464
(610) 326-4470
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS-021003-L
PA
Other
Enumeration date
08/23/2006
Last updated
07/08/2007
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