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Organization
NICOLAS A. RAVON, DDS, MSD, INC.
Active
Organization
NICOLAS A. RAVON, DDS, MSD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLAS ANDREAS RAVON DDS (OWNER)
(310) 275-5325
Entity
Organization
Contact information
Practice address
9675 BRIGHTON WAY, PENTHOUSE A, BEVERLY HILLS, CA 90210-5100
(310) 275-5325
(310) 275-9155
Mailing address
9675 BRIGHTON WAY, PENTHOUSE A, BEVERLY HILLS, CA 90210-5100
(310) 275-5325
(310) 275-9155
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DDS44533
CA
Other
Enumeration date
08/11/2013
Last updated
08/11/2013
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