Individual
DR. RAYMOND LEROY WRIGHT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1001 AVENIDA PICO STE K, SAN CLEMENTE, CA 92673-6956
(949) 361-4867
(949) 361-4868
Mailing address
1001 AVENIDA PICO STE K, SAN CLEMENTE, CA 92673-6956
(949) 361-4867
(949) 361-4868
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
63063
CA
1223P0300X
Periodontics
7983
CO
Other
Enumeration date
08/12/2005
Last updated
05/12/2021
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