Individual
ANDREA RAVIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3501 TERRACE ST, PITTSBURGH, PA 15213-2523
(734) 730-9678
Mailing address
3501 TERRACE ST, PITTSBURGH, PA 15213-2523
(173) 476-3693
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
RFD000053
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RFD000053
LICENCE NUMBER
PA
Enumeration date
08/26/2021
Last updated
11/04/2022
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