Provider Demographics
NPI:1922043892
Name:RAYA, RALPH LUNA (DDS)
Entity Type:Individual
Prefix:
First Name:RALPH
Middle Name:LUNA
Last Name:RAYA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10715 TIERRASANTA BLVD
Mailing Address - Street 2:SUITE C
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92124-2610
Mailing Address - Country:US
Mailing Address - Phone:858-278-6444
Mailing Address - Fax:
Practice Address - Street 1:10715 TIERRASANTA BLVD STE C
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92124-2610
Practice Address - Country:US
Practice Address - Phone:858-278-6444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-17
Last Update Date:2012-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA297281223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice