| Raio Dental, Pc | |
|
1739 N Ocean Ave Suite D Medford NY 11763-2683 | |
| (631) 447-8073 | |
| (631) 447-8026 |
| Full Name | Raio Dental, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1739 N Ocean Ave, Medford, New York |
| Authorized Official Name and Position | Dean Raio (OWNER) |
| Authorized Official Contact | 6314478073 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Raio Dental, Pc 1739 N Ocean Ave Suite D Medford NY 11763-2683 Ph: (631) 447-8073 | Raio Dental, Pc 1739 N Ocean Ave Suite D Medford NY 11763-2683 Ph: (631) 447-8073 |
| NPI Number | 1629365846 |
|---|---|
| Provider Enumeration Date | 07/08/2011 |
| Last Update Date | 07/08/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629365846 | NPI | - | NPPES |
| 01693241 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 046555 (New York) | Primary |
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