Organization
DENNIS G RAITT DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS GARY RAITT DDS (DENTIST PRESIDENT)
(850) 878-0064
Entity
Organization
Contact information
Practice address
2532 CAPITAL MEDICAL BLVD, TALLAHASSEE, FL 32308
(850) 878-0064
(850) 942-5145
Mailing address
2532 CAPITAL MEDICAL BLVD, TALLAHASSEE, FL 32308
(850) 878-0064
(850) 942-5145
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5078
FL
Other
Enumeration date
08/16/2006
Last updated
08/22/2020
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