Individual
DR. GAYATRI PRIYA RAGHAVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
9625 SURVEYOR CT, MANASSAS, VA 20110-4422
(703) 365-0700
Mailing address
13015 AZALEA WOODS WAY, OAK HILL, VA 20171-4811
(703) 709-7080
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401008689
VA
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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