Individual
CHAITANYA H RAVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1107 S MACARTHUR BLVD, IRVING, TX 75060-3827
(630) 815-9633
Mailing address
1107 S MACARTHUR BLVD, IRVING, TX 75060-3827
(630) 815-9633
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
15487
MD
1223G0001X
General Practice Dentistry
Primary
33709
TX
Other
Enumeration date
07/18/2013
Last updated
01/11/2021
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