DR. David Jacob Raphael, DDS

NPI #1104142900 in Portland, Oregon

Provider Information

NPI Number
1104142900
Entity Type
Individual
Name
DR. David Jacob Raphael, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - Pediatric Dentistry
Credential
DDS
Enumeration Date
Apr 19, 2010
Last Updated
Oct 19, 2016

Practice Location

Address
2323 NW WESTOVER RD
State
Oregon
ZIP Code
97210-3524
Phone
(503) 893-2889

Specialties & Taxonomy Codes

Specialty
Dentist - Pediatric DentistryPediatric Dentistry

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