Individual
DR. SUSANA RAYGADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
5211 LYNGATE CT, BURKE, VA 22015-1671
(703) 323-1400
(703) 426-0415
Mailing address
5211 LYNGATE CT, BURKE, VA 22015-1671
(703) 323-1400
(703) 426-0415
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401410954
VA
Other
Enumeration date
03/10/2008
Last updated
03/10/2008
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