DR. Jose Gregorio Ravelo, DDS
NPI #1457693020 in Charleston, West Virginia
Provider Information
- NPI Number
- 1457693020
- Entity Type
- Individual
- Name
- DR. Jose Gregorio Ravelo, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Credential
- DDS
- Enumeration Date
- Mar 21, 2013
- Last Updated
- Oct 29, 2019
Practice Location
- Address
- 1215 VIRGINIA ST E
- City
- Charleston
- State
- West Virginia
- ZIP Code
- 25301-2908
- Phone
- (304) 345-1092
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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