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General NPI Number Information
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NPI Number | 1780542399
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Entity Type | Organization
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Legal Business Name | RAVAL DDS MSD PLLC
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Dates
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Enumeration Date | 01/13/2026
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Last Update Date | 01/13/2026
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Provider Practice Location Address
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Address Line | 567 JOHN ST STE 2
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City | SEATTLE
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State | WA
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Zip | 98109-5046
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Country | US
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Telephone | 206-724-0188
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Fax |
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Provider Business Mailing Address
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Address Line | 567 JOHN ST STE 2
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City | SEATTLE
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State | WA
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Zip | 98109-5046
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | NEAL CHRISTOPHER RAVAL
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Credential | BDS, MSD
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Telephone | 360-490-6813
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number |
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License Number State |
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