Individual
DR. MELISSA RAVAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
8400 OSUNA RD NE STE 2B, ALBUQUERQUE, NM 87111-2069
(505) 292-6414
Mailing address
8400 OSUNA RD NE STE 2B, ALBUQUERQUE, NM 87111-2069
(505) 292-6414
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD2907
NM
Other
Enumeration date
09/06/2007
Last updated
05/02/2019
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