| NPI | 1144667577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID M RAIFFE Dentist/Owner 419-562-9901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 019625) |
| Enumeration Date | 2013-05-24 |
| Last Update Date | 2013-05-24 |