Individual
CHRISTOPHER H RAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
131 VICTORIA COMMONS BLVD, DELAND, FL 32724
(386) 624-7658
(386) 873-4625
Mailing address
1431 ORANGE CAMP RD, SUITE 108, DELAND, FL 32724-7768
(386) 624-7658
(386) 873-4625
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN18823
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
07/15/2009
Last updated
12/11/2019
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