Organization
MENTOR DENTAL CARE - DAVID M. RAIFFE DDS MBA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OPAL ANDERSON (BUSINESS MANAGER)
(440) 823-6790
Entity
Organization
Contact information
Practice address
7259 CENTER ST, MENTOR, OH 44060-4907
(440) 823-6790
Mailing address
7259 CENTER ST, MENTOR, OH 44060-4907
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/04/2015
Last updated
02/04/2015
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