David Jacob Raphael DDS

NPI 1104142900 - Dentist - 1223P0221X

NPI Details
NPI 1104142900
Gender Male
Enumeration Date 04/19/2010
Last Updated 06/04/2014
Entity Type Individual
Active Over 6 years ago
Practice Location
2323 NW WESTOVER RD
PORTLAND OR, 97210-3524, US
Phone (503) 893-2889
Fax
Business Location
2323 NW WESTOVER RD
PORTLAND OR, 97210-3524, US
Phone (617) 733-7317
Fax
Toxanomy
Taxonomy Code 1223P0221X
License State Washington
License Number DE 60257230
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According to our database, Dr. David Jacob Raphael DDS NPI is 1104142900, taxonomy code is 1223P0221X and license number is DE 60257230, license state is located at Washington. David Jacob Raphael DDS physically located at 2323 Nw Westover Rd, Portland OR, 97210-3524. NPI Number David Jacob Raphael DDS has the Individual type.

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1104142900 NPI number is provided on an as is basis without warranty of any kind. 1104142900 is maintained by the National Plan & Provider Enumeration System. The contents of David Jacob Raphael DDS are for informational purposes only.