Organization
SUSANA RAYGADA D.M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSANA RAYGADA D.M.D. (DENTIST)
(703) 323-1400
Entity
Organization
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
—
—
Other
Enumeration date
04/29/2008
Last updated
04/05/2012
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