JOSE GREGORIO RAVELO

CHARLESTON, WV
NPI1457693020
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: WV  4371)
Enumeration Date2013-03-21
Last Update Date2019-10-29
Business Address
Dr. JOSE GREGORIO RAVELO DDS
1215 VIRGINIA ST E
CHARLESTON, WV 25301-2908
Phone number: 304-345-1092
Mailing Address
Dr. JOSE GREGORIO RAVELO DDS
103 STATION PLACE WAY
HURRICANE, WV 25526-8747
Phone number: 304-720-7819