Individual
DR. MICHAEL KYLE RAYMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5656 BEE CAVE RD, #B104, WEST LAKE HILLS, TX 78746-5280
(512) 732-0022
(512) 436-9240
Mailing address
5656 BEE CAVE RD, #B104, WEST LAKE HILLS, TX 78746-5280
(512) 732-0022
(512) 436-9240
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
18034
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
090818802
—
TX
05
—
090818803
—
TX
01
—
TX18034
STATE LICENSE NUMBER
TX
Enumeration date
01/19/2007
Last updated
02/28/2013
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