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Dr. Raymond Blake Braidfoot, DMD
Pediatric Dentist in Los Angeles, California
NPI 1588702997

Raymond Blake Braidfoot is a Pediatric Dentist based in Los Angeles, CA and is specialized in Pediatric Dentistry. Raymond Blake Braidfoot practices in Los Angeles, CA and has the professional credentials of DMD. The NPI Number for Raymond Blake Braidfoot is 1588702997 and holds a License No. 55072 (California).

The current practice location address for Raymond Blake Braidfoot is 501 W Olympic Blvd, Los Angeles, CA and can be reached out via phone at 215-327-6780.

Location: 501 W Olympic Blvd, Los Angeles, CA, 90015-1433
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588702997
Provider Name
Raymond Blake Braidfoot
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
501 W Olympic Blvd, Los Angeles, CA, 90015-1433
Phone Number
215-327-6780
Fax Number
Provider Enumeration Date
02/01/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
501 W Olympic Blvd
City
Los Angeles
State
California
Zip
90015-1433
Phone Number
215-327-6780
Fax Number
person
Provider Business Mailing Address Details
Address
501 W Olympic Blvd
City
Los Angeles
State
California
Zip
90015-1433
Phone Number
215-327-6780
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
55072 (California)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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