Provider Demographics
NPI:1538334206
Name:RATNER, LES (DDS)
Entity type:Individual
Prefix:
First Name:LES
Middle Name:
Last Name:RATNER
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 1:6481 OLD BEULAH ST
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22315-3723
Mailing Address - Country:US
Mailing Address - Phone:703-971-1919
Mailing Address - Fax:703-822-8000
Practice Address - Street 1:6481 OLD BEULAH ST
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22315-3723
Practice Address - Country:US
Practice Address - Phone:703-971-1919
Practice Address - Fax:703-822-8000
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-24
Last Update Date:2018-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010064351223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice