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Individual

DR. RAYMOND CHARLES GANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
9515 HALL ROAD, BUILDING 1099, FORT BELVOIR, VA 22060
(703) 806-4393
(703) 806-4376
Mailing address
6900 GEORGIA AVE, NW, BUILDING T20, ROOM 206B, WASHINGTON, DC 20307-5400
(202) 782-0988
(202) 782-9195

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
734005070
DC

Other

Enumeration date
02/24/2006
Last updated
04/28/2008
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