Individual
DR. RAYMOND R. NILES II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2024 DANIEL STUART SQ, WOODBRIDGE, VA 22191-3315
(703) 494-4101
(703) 497-1685
Mailing address
2024 DANIEL STUART SQ, WOODBRIDGE, VA 22191-3315
(703) 494-4101
(703) 497-1685
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401003998
VA
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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