Individual
GHAYATHRI RAVICHANDRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
483 W. SEED FARM RD., MESA, AZ 85147-0038
(602) 528-1200
(602) 528-1255
Mailing address
P.O. BOX 38, SACATON, AZ 85147-0038
(602) 528-1200
(602) 528-1255
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D 7859
AZ
Other
Enumeration date
08/25/2009
Last updated
03/25/2014
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