Individual
ASHWIN RAVISANKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
405 W FOOTHILL BLVD STE 104, CLAREMONT, CA 91711-2799
(909) 626-1236
Mailing address
405 W FOOTHILL BLVD STE 104, CLAREMONT, CA 91711-2799
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
100516
CA
Other
Enumeration date
07/21/2016
Last updated
07/21/2016
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