Susana Raygada D.M.D

NPI 1104096817 - Dentist - 1223G0001X

NPI Details
NPI 1104096817
Gender Female
Enumeration Date 03/10/2008
Last Updated 03/10/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
5211 LYNGATE CT
BURKE VA, 22015-1671, US
Phone (703) 323-1400
Fax (703) 426-0415
Business Location
5211 LYNGATE CT
BURKE VA, 22015-1671, US
Phone (703) 323-1400
Fax (703) 426-0415
Toxanomy
Taxonomy Code 1223G0001X
License State Virginia
License Number 0401410954
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According to our database, Dr. Susana Raygada D.M.D NPI is 1104096817, taxonomy code is 1223G0001X and license number is 0401410954, license state is located at Virginia. Susana Raygada D.M.D physically located at 5211 Lyngate Ct, Burke VA, 22015-1671. NPI Number Susana Raygada D.M.D has the Individual type.

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1104096817 NPI number is provided on an as is basis without warranty of any kind. 1104096817 is maintained by the National Plan & Provider Enumeration System. The contents of Susana Raygada D.M.D are for informational purposes only.