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Individual

DR. MICHELE CARTER RAVENEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
173 ASHLEY AVE, BSB 124 COLLEGE OF DENTAL MEDICINE, CHARLESTON, SC 29425-0001
(843) 792-7258
(843) 792-2150
Mailing address
1466 HEADQUARTERS PLANTATION DR, JOHNS ISLAND, SC 29455-3103
(843) 557-0696

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
ID0016
SC

Other

Enumeration date
03/19/2007
Last updated
07/08/2007
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