Individual
DR. MONICA RAVULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, BDS
Contact information
Practice address
19555 N 59TH AVE, GLENDALE, AZ 85308-6813
(623) 572-3215
Mailing address
7700 W ASPERA BLVD APT 2035, GLENDALE, AZ 85308-7925
(480) 399-0811
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D010350
AZ
Other
Enumeration date
06/27/2019
Last updated
06/27/2019
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