Dr. REVANA EMAD AWADALLAH DMD
Individual Provider (NPI-1)
Active
Dentist, General Practice
Provider Information
- NPI Number
1972237089- Provider Type
- Individual Provider (NPI-1)
- Credentials
- DMD
- Status
- Active
Contact & Location
- Address
- 29663 GATEWAY AVE, CHISAGO CITY, MN, 550130339
- Phone
- (651) 257-3639
Specialties & Taxonomies
Dentist, General Practice
Primary License: MN #D14808