Charles Keith Raynor DMD

NPI 1821298746 - Dentist - 1223G0001X

NPI Details
NPI 1821298746
Gender Male
Enumeration Date 07/19/2007
Last Updated 07/19/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3000 SW 148TH AVE
MIRAMAR FL, 33027-4169, US
Phone (954) 450-4533
Fax (954) 450-4834
Business Location
3000 SW 148TH AVE
MIRAMAR FL, 33027-4169, US
Phone (954) 450-4533
Fax (954) 450-4834
Toxanomy
Taxonomy Code 1223G0001X
License State Florida
License Number DN0014927
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According to our database, Dr. Charles Keith Raynor DMD NPI is 1821298746, taxonomy code is 1223G0001X and license number is DN0014927, license state is located at Florida. Charles Keith Raynor DMD physically located at 3000 Sw 148th Ave, Miramar FL, 33027-4169. NPI Number Charles Keith Raynor DMD has the Individual type.

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1821298746 NPI number is provided on an as is basis without warranty of any kind. 1821298746 is maintained by the National Plan & Provider Enumeration System. The contents of Charles Keith Raynor DMD are for informational purposes only.