LISA S RAVENEL

GREENVILLE, SC
NPI1891703419
Other NameBRYAN E GREEN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1223P0300X Dentist, Periodontics
(Licence: SC  3710)
Enumeration Date2006-08-03
Last Update Date2007-07-08
Business Address
Dr. LISA S RAVENEL DMD, MHS
1130 E BUTLER RD
GREENVILLE, SC 29607-5908
Phone number: 864-987-9700
Mailing Address
Dr. LISA S RAVENEL DMD, MHS
1130 E BUTLER RD
GREENVILLE, SC 29607-5908
Phone number: 864-987-9700
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