Individual
DR. REVAN DAWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4365 E PECOS RD STE 127, GILBERT, AZ 85295-8052
(480) 331-4955
Mailing address
4365 E PECOS RD STE 127, GILBERT, AZ 85295-8052
(480) 331-4955
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D010736
AZ
Other
Enumeration date
06/19/2020
Last updated
10/07/2022
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