Individual
ALYSSA EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
635 ALBANY ST, BOSTON, MA 02118-3550
(617) 358-3466
Mailing address
7A HALF MOON ST, BOSTON, MA 02125-4915
(586) 216-6436
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN10000287
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2024
Last updated
01/21/2025
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