Braidfoot, Raymond Blake
Braidfoot, Raymond Blake is an individual health care provider with primary practice located at 501 W Olympic Blvd #510, Los Angeles CA 90015-1433. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Braidfoot, Raymond Blake can be contacted via phone (215) 327-6780.Contact Information
Primary practice address
501 W Olympic Blvd #510
Los Angeles CA 90015-1433
Phone: (215) 327-6780
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 55072 | California |
Profile Details
| NPI number | 1588702997 |
|---|---|
| LBN Legal business name | Braidfoot, Raymond Blake |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 1st, 2007 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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