RAVI PRAKASH BHADRIRAJU

GLENDALE, AZ
NPI1487214276
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: AZ  D010354)
Enumeration Date2019-06-14
Last Update Date2019-06-14
Business Address
Dr. RAVI PRAKASH BHADRIRAJU DMD
18205 N 51ST AVE STE 101
GLENDALE, AZ 85308-1491
Phone number: 602-993-4200
Mailing Address
Dr. RAVI PRAKASH BHADRIRAJU DMD
4721 W ELECTRA LN
GLENDALE, AZ 85310-3832
Phone number: 480-845-7475