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Organization

MELISSA RAVAGO, D.M.D., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MELISSA RAVAGO D.M.D. (DENTIST)
(505) 292-4616
Entity
Organization

Contact information

Practice address
8400 OSUNA RD NE, SUITE 2B, ALBUQUERQUE, NM 87111-2087
(505) 292-4616
Mailing address
8400 OSUNA RD NE, SUITE 2B, ALBUQUERQUE, NM 87111-2087
(505) 292-4616

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DD2907
NM

Other

Enumeration date
05/07/2014
Last updated
05/07/2014
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