DR. THEODORE RAVENEL JR., D.M.D.

Dentist

Active Individual
NPI: 1518047182

Practice Address

115 PROFESSIONAL AVE
West Columbia, SC 29169

Phone: (803) 794-8371

Specialties

Specialty Code Primary License
Dentist 122300000X Yes 1343 (SC)

Frequently Asked Questions

NPI 1518047182 is the National Provider Identifier for DR. THEODORE RAVENEL JR., D.M.D., a Dentist provider located in West Columbia, SC. This NPI was enumerated on October 17, 2006.
DR. THEODORE RAVENEL JR., D.M.D. practices at 115 PROFESSIONAL AVE, West Columbia, SC 29169.

Quick Facts

NPI
1518047182
Type
Individual
Enumerated
Oct 17, 2006
Last Updated
Jul 8, 2007

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