Organization
R. B. BRAIDFOOT DMD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND BLAKE BRAIDFOOT DMD (PEDIATRIC DENTIST, OWNE/OPERATOR)
(972) 566-6383
Entity
Organization
Contact information
Practice address
7777 FOREST LN, C-626, DALLAS, TX 75230-2571
(672) 566-6383
(972) 566-3847
Mailing address
7777 FOREST LN, C-626, DALLAS, TX 75230-2571
(672) 566-6383
(972) 566-3847
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
23666
TX
Other
Enumeration date
12/12/2013
Last updated
12/12/2013
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