Provider Demographics
NPI:1184855918
Name:GEISSINGER, RAYMOND MATTHEW (DENTAL LAB TECH)
Entity Type:Individual
Prefix:MR
First Name:RAYMOND
Middle Name:MATTHEW
Last Name:GEISSINGER
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Gender:M
Credentials:DENTAL LAB TECH
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Mailing Address - Street 1:7543 BROADVIEW RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:SEVEN HILLS
Mailing Address - State:OH
Mailing Address - Zip Code:44131-5631
Mailing Address - Country:US
Mailing Address - Phone:440-223-7216
Mailing Address - Fax:216-642-3214
Practice Address - Street 1:7543 BROADVIEW RD
Practice Address - Street 2:SUITE 1
Practice Address - City:SEVEN HILLS
Practice Address - State:OH
Practice Address - Zip Code:44131-5631
Practice Address - Country:US
Practice Address - Phone:440-223-7216
Practice Address - Fax:216-642-3214
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-28
Last Update Date:2009-07-28
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes126900000XDental ProvidersDental Laboratory Technician