Individual
RAPHAEL HUNTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., PH.D.
Contact information
Practice address
325 9TH AVE, SEATTLE, WA 98104-2420
(206) 520-5000
Mailing address
2905 PRINCETON AVE, SAINT LOUIS PARK, MN 55416-1956
(916) 233-6352
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS042656
PA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
DR60949163
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2019
Last updated
04/03/2026
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