Individual
RONALD RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
43930 FARMWELL HUNT PLZ, SUITE 136, ASHBURN, VA 20147-5896
(703) 858-0045
(700) 385-8004
Mailing address
43930 FARMWELL HUNT PLZ, SUITE 136, ASHBURN, VA 20147-5896
(703) 858-0045
(700) 385-8004
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401007575
VA
Other
Enumeration date
08/01/2011
Last updated
08/01/2011
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