Organization
RAPHAEL LIY DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAPHAEL LIY DDS (MANAGER)
(727) 848-5525
Entity
Organization
Contact information
Practice address
1822 HEALTH CARE DR BLDG 6, TRINITY, FL 34655-5362
(727) 848-5525
Mailing address
1822 HEALTH CARE DR BLDG 6, TRINITY, FL 34655-5362
(727) 848-5525
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
12/13/2020
Last updated
02/02/2021
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