Individual
DR. EVAN ANDREW STILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
250 N FAIRGROUNDS RD, #A, PRICE, UT 84501-4203
(435) 637-0424
Mailing address
250 N FAIRGROUNDS RD, #A, PRICE, UT 84501-4203
(435) 637-0424
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7057675-9921
UT
Other
Enumeration date
07/22/2008
Last updated
07/22/2008
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