Raphael Liy Dds Llc | |
1822 Health Care Dr Bldg 6 Trinity FL 34655-5362 | |
(727) 848-5525 | |
Not Available |
Full Name | Raphael Liy Dds Llc |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 1822 Health Care Dr Bldg 6, Trinity, Florida |
Authorized Official Name and Position | Raphael Liy (MANAGER) |
Authorized Official Contact | 7278485525 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Raphael Liy Dds Llc 1822 Health Care Dr Bldg 6 Trinity FL 34655-5362 Ph: (727) 848-5525 | Raphael Liy Dds Llc 1822 Health Care Dr Bldg 6 Trinity FL 34655-5362 Ph: (727) 848-5525 |
NPI Number | 1366038499 |
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Provider Enumeration Date | 12/13/2020 |
Last Update Date | 02/02/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366038499 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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