Provider Demographics
NPI:1669744850
Name:VIRAY, CHRISTOPHER Q (DDS)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:Q
Last Name:VIRAY
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 1:1605 TULLY RD
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95122-2533
Mailing Address - Country:US
Mailing Address - Phone:408-729-8880
Mailing Address - Fax:408-729-8858
Practice Address - Street 1:1605 TULLY RD
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95122-2533
Practice Address - Country:US
Practice Address - Phone:408-729-8880
Practice Address - Fax:408-729-8858
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-02
Last Update Date:2012-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA391051223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice