Individual
STEPHEN MARIO RAIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
20936 TIMBERLAKE RD, LYNCHBURG, VA 24502-7353
(434) 237-0004
(434) 237-6597
Mailing address
2712 FARMINGTON PL, LYNCHBURG, VA 24503-2922
(360) 609-6059
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401418992
VA
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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