Organization
JEFFREY R EVANKO DMD LLC
Active
Other names
Evanko Dental Group of Medina
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY R EVANKO DMD (OWNER/ DENTIST)
(330) 725-6182
Entity
Organization
Contact information
Practice address
3637 MEDINA RD STE 200, MEDINA, OH 44256-8154
(330) 725-6182
Mailing address
3637 MEDINA RD STE 200, MEDINA, OH 44256-8154
(330) 725-6182
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/18/2020
Last updated
11/24/2020
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