Awadallah, Revana Emad

Awadallah, Revana Emad is an sole proprietor health care provider with primary practice located at 29663 Gateway Ave , Chisago City MN 55013-0339. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Awadallah, Revana Emad can be contacted via phone (651) 257-3639.

Contact Information

Primary practice address
29663 Gateway Ave Chisago City MN 55013-0339
Phone: (651) 257-3639
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D14808 Minnesota

Profile Details

NPI number 1972237089
LBN Legal business name Awadallah, Revana Emad
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 13th, 2022
Last updated Jul 13th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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