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1013569771
RAVENEL PERIODONTICS, PA
GREENVILLE, SC
NPI
1013569771
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Entity Type
Organization
Authorized Contact
LISA SHERWOOD RAVENEL
Owner/Dentist
864-626-4777
Organization Subpart ?
No
Primary Taxonomy
1223P0300X Dentist Periodontics
Enumeration Date
2019-07-12
Last Update Date
2019-07-12
Business Address
RAVENEL PERIODONTICS, PA
1130 E BUTLER RD
GREENVILLE, SC 29607-5908
Phone number: 864-626-4777
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Mailing Address
RAVENEL PERIODONTICS, PA
PO BOX 938
MAULDIN, SC 29662-0938
Phone number: 864-626-4777
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