Individual
FADI RAFFOUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
787 W LUMSDEN ROAD, FAMILY IMPLANT AND COSMETIC DENTISTRY, BRANDON, FL 33511
(813) 684-7888
(813) 684-4558
Mailing address
787 W LUMSDEN ROAD, FAMILY IMPLANT AND COSMETIC DENTISTRY, BRANDON, FL 33511
(813) 684-7888
(813) 684-4558
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN21194
FL
Other
Enumeration date
06/03/2015
Last updated
09/12/2022
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