Individual
DR. WASHINGTON RAY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
625 CONSTITUTION DR, SUMTER, SC 29154-8190
(803) 773-5413
Mailing address
625 CONSTITUTION DR, SUMTER, SC 29154-8190
(803) 773-5413
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2238
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
239742
—
SC
Enumeration date
08/22/2006
Last updated
04/18/2016
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