DR. REVANA AWADALLAH, DMD

Dentist - General Practice

Active Individual
NPI: 1972237089

Practice Address

29663 GATEWAY AVE
Chisago City, MN 55013

Phone: (651) 257-3639

Specialties

Specialty Code Primary License
Dentist - General Practice 1223G0001X Yes D14808 (MN)

Frequently Asked Questions

NPI 1972237089 is the National Provider Identifier for DR. REVANA AWADALLAH, DMD, a Dentist - General Practice provider located in Chisago City, MN. This NPI was enumerated on July 13, 2022.
DR. REVANA AWADALLAH, DMD practices at 29663 GATEWAY AVE, Chisago City, MN 55013.

Quick Facts

NPI
1972237089
Type
Individual
Enumerated
Jul 13, 2022
Last Updated
Jul 13, 2022

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