Individual
DR. ERIC RAYNAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
212 N MOON AVE, BRANDON, FL 33510-4422
(813) 689-5928
Mailing address
212 N MOON AVE, BRANDON, FL 33510-4422
(813) 689-5928
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN14364
FL
Other
Enumeration date
07/08/2008
Last updated
07/08/2008
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