Individual
DR. RAYMOND LYLE POLLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1325 SOUTH PINE ST, #103, MELBOURNE, FL 32901-3187
(321) 724-4520
(321) 723-9762
Mailing address
1325 SOUTH PINE ST, #103, MELBOURNE, FL 32901-3187
(321) 724-4520
(321) 723-9762
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN6954
FL
Other
Enumeration date
02/09/2007
Last updated
07/08/2007
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