Organization
COSMETIC AND FAMILY DENTISTRY
Active
Other names
Elizabeth W Evans, DMD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH EVANS DMD (DENTIST)
(712) 792-6455
Entity
Organization
Contact information
Practice address
2008 N US HIGHWAY 71, CARROLL, IA 51401-3300
(712) 792-6455
Mailing address
2008 N US HIGHWAY 71, CARROLL, IA 51401-3300
(712) 792-6455
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7806
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0132613
—
IA
Enumeration date
05/15/2008
Last updated
05/15/2008
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