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Organization
KARL EVANOFF, DDS, PLLC
Active
Organization
KARL EVANOFF, DDS, PLLC
Active
Other names
Evanoff Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KARL EVANOFF DDS (OWNER)
(419) 283-4422
Entity
Organization
Contact information
Practice address
2243 E APPLE AVE, SUITE A, MUSKEGON, MI 49442-4391
(231) 773-8110
Mailing address
2243 E APPLE AVE, SUITE A, MUSKEGON, MI 49442-4391
(231) 773-8110
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2901021800
MI
Other
Enumeration date
01/10/2017
Last updated
01/10/2017
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