Individual
DR. RAVI SHANKAR MAISURIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2831 MIDWAY RD SE STE 116, BOLIVIA, NC 28422-8377
(910) 634-5699
Mailing address
2039 HAMBRIDGE AVE, KANNAPOLIS, NC 28081-8607
(980) 333-7253
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14698
NC
Other
Enumeration date
06/04/2026
Last updated
06/04/2026
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