NPI | 1396375283 |
---|---|
Doing Business As | RAINES FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | JAMES STEPHEN RAINES Owner/Dentist 870-833-0599 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2020-01-21 |
Last Update Date | 2020-01-21 |