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Individual

SAIMANASA RAVI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
9727 E INDEPENDENCE BLVD, MATTHEWS, NC 28105-4625
(980) 508-0185
Mailing address
11413 BLUE BLOSSOM RD, CHARLOTTE, NC 28277-3844
(971) 330-7439

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14376
NC
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/26/2023
Last updated
07/19/2025
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