Organization
RAVI BALU DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROL FOSTER (OFFICE MANAGER)
(724) 628-9340
Entity
Organization
Contact information
Practice address
210 LAUREL DR, CONNELLSVILLE, PA 15425-3869
(724) 628-9340
(724) 628-4090
Mailing address
210 LAUREL DR, CONNELLSVILLE, PA 15425-3869
(724) 628-9340
(724) 628-4090
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS015819L
PA
122300000X
Dentist
Primary
DS027029L
PA
122300000X
Dentist
DS031148L
PA
122300000X
Dentist
DS037382
PA
Other
Enumeration date
04/22/2008
Last updated
06/27/2008
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