| NPI | 1013250026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID M RAIFFE Owner/Dentist 330-395-3820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 019625) |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2013-03-28 |