DR. Raymond J Dysas, DDS

NPI #1245395375 in Fairborn, Ohio

Provider Information

NPI Number: 1245395375
Entity Type: Individual
Name: DR. Raymond J Dysas, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Dec 27, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1877 S MAPLE
Address 2: #290
City: Fairborn
State: Ohio
ZIP Code: 45324
Phone: (937) 879-7990

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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