Individual
RACHAEL ANNE REVELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
5950 VILLAGE VIEW DR, SUITE 200, WEST DES MOINES, IA 50266-3844
(641) 521-0625
Mailing address
5950 VILLAGE VIEW DR, SUITE 200, WEST DES MOINES, IA 50266-3844
(641) 521-0625
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
09012
IA
1223P0221X
Pediatric Dentistry
25847
TX
Other
Enumeration date
06/04/2009
Last updated
09/12/2013
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