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Search › Ohio › 122300000X

Michael Raizen, D.D.S

NPI 1417951781 · on the registry since 2005

Practice

Address
600 W 3rd St
Mansfield, OH 44906
Phone
(419) 522-1939
Organisation at this address
Third Street Dental Mobile Van
Third Street Community Clinic Inc
Third Street Community Clinic Inc
Third Street Community Clinic Inc
Third Street Community Clinic, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
30

Registry record

Primary taxonomy
122300000X
122300000X
Also registered as
1223G0001X
Licence states on file
CO, OH
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-08-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio