Colden Douglas Raines JR. DDS

NPI 1053494187 - Dentist - 122300000X

NPI Details
NPI 1053494187
Gender Male
Enumeration Date 10/23/2006
Last Updated 08/27/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
603 CLINTON AVE
NEWARK NJ, 07108, US
Phone (973) 824-7409
Fax (973) 824-7430
Business Location
603 CLINTON AVE
NEWARK NJ, 07108, US
Phone (973) 824-7409
Fax (973) 824-7430
Toxanomy
Taxonomy Code 122300000X
License State New Jersey
License Number 22D101769300
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According to our database, Colden Douglas Raines JR. DDS NPI is 1053494187, taxonomy code is 122300000X and license number is 22D101769300, license state is located at New Jersey. Colden Douglas Raines JR. DDS physically located at 603 Clinton Ave, Newark NJ, 07108. NPI Number Colden Douglas Raines JR. DDS has the Individual type.

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1053494187 NPI number is provided on an as is basis without warranty of any kind. 1053494187 is maintained by the National Plan & Provider Enumeration System. The contents of Colden Douglas Raines JR. DDS are for informational purposes only.