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Organization
PAUL A. EVANS, DDS
Active
Organization
PAUL A. EVANS, DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL ANTHONY EVANS (OWNER/DENTIST)
(479) 996-8000
Entity
Organization
Contact information
Practice address
7 W CENTER ST, GREENWOOD, AR 72936-4804
(479) 996-8000
(479) 996-9000
Mailing address
7 W CENTER ST, P.O. BOX 250, GREENWOOD, AR 72936-4804
(479) 996-8000
(479) 996-9000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3004
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179830631
—
AR
Enumeration date
12/29/2009
Last updated
12/29/2009
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