Individual
ISABEL RAVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
964 GLENWAY DR STE A, STATESVILLE, NC 28625-9204
(704) 252-5793
Mailing address
6144 PINE CANOPY DR, CHARLOTTE, NC 28269-3999
(305) 753-8958
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14417
NC
Other
Enumeration date
08/01/2025
Last updated
08/01/2025
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