| 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 |
|---|---|
| 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 |
|---|---|
| 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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