| Raines Dental Llc | |
|
4 Burton Ln Suite 200 Mullica Hill NJ 08062-9422 | |
| (908) 770-1506 | |
| Not Available |
| Full Name | Raines Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4 Burton Ln, Mullica Hill, New Jersey |
| Authorized Official Name and Position | Jason Raines (OWNER) |
| Authorized Official Contact | 9087701506 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Raines Dental Llc 1328 Greene Ln Cherry Hill NJ 08003-1146 Ph: (908) 770-1506 | Raines Dental Llc 4 Burton Ln Suite 200 Mullica Hill NJ 08062-9422 Ph: (908) 770-1506 |
| NPI Number | 1376926618 |
|---|---|
| Provider Enumeration Date | 07/06/2015 |
| Last Update Date | 07/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376926618 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 22DI02500500 (New Jersey) | Primary |
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