| Nicolas A. Ravon, Dds, Msd, Inc. | |
|
9675 Brighton Way Penthouse A Beverly Hills CA 90210-5100 | |
| (310) 275-5325 | |
| (310) 275-9155 |
| Full Name | Nicolas A. Ravon, Dds, Msd, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 9675 Brighton Way, Beverly Hills, California |
| Authorized Official Name and Position | Nicolas Andreas Ravon (OWNER) |
| Authorized Official Contact | 3102755325 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicolas A. Ravon, Dds, Msd, Inc. 9675 Brighton Way Penthouse A Beverly Hills CA 90210-5100 Ph: (310) 275-5325 | Nicolas A. Ravon, Dds, Msd, Inc. 9675 Brighton Way Penthouse A Beverly Hills CA 90210-5100 Ph: (310) 275-5325 |
| NPI Number | 1841623162 |
|---|---|
| Provider Enumeration Date | 08/11/2013 |
| Last Update Date | 08/11/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841623162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DDS44533 (California) | Primary |
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