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Organization
AUBRIE EVANS DDS LLC
Active
Organization
AUBRIE EVANS DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUBRIE EVANS (OWNER)
(660) 202-9593
Entity
Organization
Contact information
Practice address
2301 S HIGHWAY 65 STE 1, MARSHALL, MO 65340-3713
(660) 202-9593
Mailing address
2301 S HIGHWAY 65 STE 1, MARSHALL, MO 65340-3713
(660) 202-9593
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/09/2021
Last updated
06/09/2021
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