PETER T RAVEN DDS LLC

SPRINGFIELD, OR
NPI1619264272
Entity TypeOrganization
Authorized ContactPETER TYLER RAVEN
Manager
541-726-1961
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
(Licence: OR  D9085)
Enumeration Date2011-07-05
Last Update Date2011-07-05
Business Address
PETER T RAVEN DDS LLC
222 6TH ST
SPRINGFIELD, OR 97477-4602
Phone number: 541-726-1961
Mailing Address
PETER T RAVEN DDS LLC
222 6TH ST
SPRINGFIELD, OR 97477-4602
Phone number: 541-726-1961
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