Amisha Revawala
Amisha Revawala is a Dentist in Corpus Christi, Texas. Licensed in Colorado and Texas. Registered with an NPI since 2015.
- Licensed in
- CO, TX
- In the registry since
- 2015
- Specialties on file
- 2
Practice location Address checks out
5721 Timbergate Dr Apt 11201Corpus Christi, TX 78414-2171
Phone: (786) 499-2374
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 31957 (TX) |
|---|---|
| Dentist | Taxonomy 122300000X · Licence DEN00202436 (CO) |
Record details
| NPI number | 1376934802 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 5, 2015 |
| Last updated in NPPES | February 5, 2020 |
| Certification date | February 5, 2020 |
| Mailing address | 5721 Timbergate Dr Apt 11201, Corpus Christi, TX 78414-2171 |
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