Provider Demographics
NPI:1124236278
Name:RAY, ANGEL KATRINA (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:ANGEL
Middle Name:KATRINA
Last Name:RAY
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:DR
Other - First Name:ANGEL
Other - Middle Name:RAY
Other - Last Name:STEINBERG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS, MS
Mailing Address - Street 1:PO BOX 917
Mailing Address - Street 2:
Mailing Address - City:WAYNESBORO
Mailing Address - State:VA
Mailing Address - Zip Code:22980-1282
Mailing Address - Country:US
Mailing Address - Phone:540-943-5389
Mailing Address - Fax:540-943-5761
Practice Address - Street 1:19 WINDIGROVE DR
Practice Address - Street 2:
Practice Address - City:WAYNESBORO
Practice Address - State:VA
Practice Address - Zip Code:22980-7453
Practice Address - Country:US
Practice Address - Phone:540-943-5389
Practice Address - Fax:540-943-5761
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA4102421223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics