| Susana Raygada D.M.D., P.C. | |
|
5211 Lyngate Ct Burke VA 22015-1671 | |
| (703) 323-1400 | |
| (703) 426-0415 |
| Full Name | Susana Raygada D.M.D., P.C. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5211 Lyngate Ct, Burke, Virginia |
| Authorized Official Name and Position | Susana Raygada (DENTIST) |
| Authorized Official Contact | 7033231400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susana Raygada D.M.D., P.C. 5211 Lyngate Ct Burke VA 22015-1671 Ph: (703) 323-1400 | Susana Raygada D.M.D., P.C. 5211 Lyngate Ct Burke VA 22015-1671 Ph: (703) 323-1400 |
| NPI Number | 1558536672 |
|---|---|
| Provider Enumeration Date | 04/29/2008 |
| Last Update Date | 04/05/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558536672 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (NU) | Primary |
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