Individual
DR. NICOLAS ANDREAS RAVON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MSD
Contact information
Practice address
3808 W RIVERSIDE DR STE 305, BURBANK, CA 91505-4339
(818) 558-7454
Mailing address
3808 W RIVERSIDE DR STE 305, BURBANK, CA 91505-4339
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
44533
CA
Other
Enumeration date
08/12/2007
Last updated
08/12/2007
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