Individual
VIKRAM RAVOORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 12TH ST W STE A, TIFTON, GA 31794-3900
(229) 382-5015
Mailing address
2049 SAILBOROUGH CT, WINTER GARDEN, FL 34787-4679
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN27731
FL
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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