Individual
DR. JOSE GREGORIO RAVELO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1215 VIRGINIA ST E, CHARLESTON, WV 25301-2908
(304) 345-1092
Mailing address
103 STATION PLACE WAY, HURRICANE, WV 25526-8747
(304) 720-7819
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
4371
WV
Other
Enumeration date
03/21/2013
Last updated
10/29/2019
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