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Dr. Revana Emad Awadallah, DMD
General Practice Dentistry in Chisago City, Minnesota
NPI 1972237089

Revana Emad Awadallah is a General Practice Dentistry based in Woodbury, MN and is specialized in General Practice. Revana Emad Awadallah practices in Chisago City, MN and has the professional credentials of DMD. The NPI Number for Revana Emad Awadallah is 1972237089 and holds a License No. D14808 (Minnesota).

The current practice location address for Revana Emad Awadallah is 29663 Gateway Ave, Chisago City, MN and can be reached out via phone at 651-257-3639.

Location: 29663 Gateway Ave, Chisago City, MN, 55129-2401
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972237089
Provider Name
Revana Emad Awadallah
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
29663 Gateway Ave, Chisago City, MN, 55129-2401
Phone Number
651-257-3639
Fax Number
Provider Enumeration Date
07/13/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
29663 Gateway Ave
City
Chisago City
State
Minnesota
Zip
55013-0339
Phone Number
651-257-3639
Fax Number
person
Provider Business Mailing Address Details
Address
29663 Gateway Ave
City
Chisago City
State
Minnesota
Zip
55013-0339
Phone Number
651-257-3639
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
D14808 (Minnesota)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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