| Warren Dental Group, David M Raiffe, Dds, Mba, Inc | |
|
1019 N Park Ave Warren OH 44483-3725 | |
| (330) 395-3820 | |
| Not Available |
| Full Name | Warren Dental Group, David M Raiffe, Dds, Mba, Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1019 N Park Ave, Warren, Ohio |
| Authorized Official Name and Position | David M Raiffe (OWNER/DENTIST) |
| Authorized Official Contact | 3303953820 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Warren Dental Group, David M Raiffe, Dds, Mba, Inc 7601 Royal Portrush Dr Solon OH 44139-5256 Ph: () - | Warren Dental Group, David M Raiffe, Dds, Mba, Inc 1019 N Park Ave Warren OH 44483-3725 Ph: (330) 395-3820 |
| NPI Number | 1013250026 |
|---|---|
| Provider Enumeration Date | 03/28/2013 |
| Last Update Date | 03/28/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013250026 | NPI | - | NPPES |
| 0963631 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019625 (Ohio) | Primary |
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