REVANA EMAD AWADALLAH

CHISAGO CITY, MN
NPI1972237089
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: MN  D14808)
Enumeration Date2022-07-13
Last Update Date2022-07-13
Business Address
DR. REVANA EMAD AWADALLAH DMD
29663 GATEWAY AVE
CHISAGO CITY, MN 55013-0339
Phone number: 651-257-3639
Mailing Address
DR. REVANA EMAD AWADALLAH DMD
7741 WINTER WHEAT WAY
WOODBURY, MN 55129-2401
Phone number: 651-274-7561
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