Individual
DR. EVELYN SHIRENE GOUNILI
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1590 HASTINGS AVE, NEWPORT, MN 55055-1646
(651) 459-2387
Mailing address
1590 HASTINGS AVE, NEWPORT, MN 55055-1646
(651) 459-2387
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10530
MN
Other
Enumeration date
10/18/2005
Last updated
07/08/2007
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