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Individual

DR. GABIJA REVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
10521 MERIDIAN AVE N, SEATTLE, WA 98133-9509
(206) 296-4990
(206) 517-5578
Mailing address
1200 12TH AVE S STE 901, SEATTLE, WA 98144-2712

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE61301658
WA
122300000X
Dentist
DN1858579
MA
1223G0001X
General Practice Dentistry
00203586
CO
1223G0001X
General Practice Dentistry
DE61301658
WA

Other

Enumeration date
06/12/2018
Last updated
08/04/2026
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