NPI | 1316949902 |
---|---|
Professional Name | RAYMOND LEROY WRIGHT, JR DDS PC |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: CA 63063) |
Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: CO 7983) |
Enumeration Date | 2005-08-12 |
Last Update Date | 2021-05-12 |