Individual
DR. RAWAN YAGHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
195 JEFFERSON BLVD, BIG LAKE, MN 55309-9572
(763) 263-2222
(763) 263-5822
Mailing address
195 JEFFERSON BLVD, BIG LAKE, MN 55309-9572
(763) 263-2222
(763) 263-5822
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D12078
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D12078
LICENSE NUMBER
MN
Enumeration date
10/02/2007
Last updated
10/02/2007
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