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1487214276
RAVI PRAKASH BHADRIRAJU
GLENDALE, AZ
NPI
1487214276
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: AZ D010354)
Enumeration Date
2019-06-14
Last Update Date
2019-06-14
Business Address
Dr. RAVI PRAKASH BHADRIRAJU DMD
18205 N 51ST AVE STE 101
GLENDALE, AZ 85308-1491
Phone number: 602-993-4200
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Mailing Address
Dr. RAVI PRAKASH BHADRIRAJU DMD
4721 W ELECTRA LN
GLENDALE, AZ 85310-3832
Phone number: 480-845-7475
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