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Individual
EVAN C. CHALK
Active
Individual
EVAN C. CHALK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
0438000335
VA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
0438000335
VA
Other
Enumeration date
07/09/2008
Last updated
11/11/2024
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