| Dr Revana Emad Awadallah, DMD | |
|
29663 Gateway Ave, Chisago City, MN 55013-0339 | |
| (651) 257-3639 | |
| Not Available |
| Full Name | Dr Revana Emad Awadallah |
|---|---|
| Gender | Female |
| Speciality | Dentist - General Practice |
| Location | 29663 Gateway Ave, Chisago City, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972237089 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D14808 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Revana Emad Awadallah, DMD 7741 Winter Wheat Way, Woodbury, MN 55129-2401 Ph: (651) 274-7561 | Dr Revana Emad Awadallah, DMD 29663 Gateway Ave, Chisago City, MN 55013-0339 Ph: (651) 257-3639 |
Dr. Mark W Jurkovich, DDS Dentist Medicare: Medicare Enrolled Practice Location: 29663 Gateway Ave, Chisago City, MN 55013 Phone: 651-257-3639 Fax: 651-257-6369 | |
Dr. Riley Scott Baumgartner, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 29663 Gateway Ave, Chisago City, MN 55013 Phone: 651-257-3639 | |
Dr. David Bruce Albrecht, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 11721 Stinson Ave, Chisago City, MN 55013 Phone: 651-257-2921 Fax: 651-257-2921 | |
Alison Lee Komarek, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 11721 Stinson Ave, Chisago City, MN 55013 Phone: 651-257-2921 | |
Dr. Mary A. Shipp, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 11721 Stinson Ave, Chisago City, MN 55013 Phone: 651-257-2921 Fax: 651-257-2921 |