Individual
DR. RAPHAEL LIY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1822 HEALTH CARE DR BLDG 6, TRINITY, FL 34655-5362
(727) 848-5525
Mailing address
1822 HEALTH CARE DR BLDG 6, TRINITY, FL 34655-5362
(727) 848-5525
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
LL-435-16
NV
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN24283
FL
Other
Enumeration date
10/31/2016
Last updated
01/25/2021
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