Revoir, Michele Marie
Revoir, Michele Marie is an individual health care provider with primary practice located at 17565 Central Ave Ne , Ham Lake MN 55304. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Revoir, Michele Marie can be contacted via phone (763) 434-4188.Contact Information
Primary practice address
17565 Central Ave Ne
Ham Lake MN 55304
Phone: (763) 434-4188
Fax: (763) 413-7261
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D10416 | Minnesota |
Profile Details
| NPI number | 1205987872 |
|---|---|
| LBN Legal business name | Revoir, Michele Marie |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 12th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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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