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1487711545
MICHAEL JOHN REVENIG
CHATTANOOGA, TN
NPI
1487711545
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TN DS0000002186)
Enumeration Date
2007-01-01
Last Update Date
2007-07-08
Business Address
-- MICHAEL JOHN REVENIG DDS
4601 BRAINERD RD
CHATTANOOGA, TN 37411-3826
Phone number: 423-698-6005
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Mailing Address
-- MICHAEL JOHN REVENIG DDS
4601 BRAINERD RD
CHATTANOOGA, TN 37411-3826
Phone number: 423-698-6005
Copy
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