Individual
BENJAMIN RAFAIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
25823 HIGHWAY 290, CYPRESS, TX 77429-1020
(281) 373-5559
Mailing address
25823 HIGHWAY 290, CYPRESS, TX 77429-1020
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
33450
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2016
Last updated
03/17/2018
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