Individual
DR. CHRIS EVANOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1910 CHARLES ST, DUPONT, WA 98327-7740
(253) 389-0987
Mailing address
10904 GRAVELLY LAKE DR SW, LAKEWOOD, WA 98499-1330
(253) 589-3636
(253) 589-3177
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DE60095117
WA
Other
Enumeration date
04/27/2006
Last updated
01/15/2014
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