Individual
DR. EVAN MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DB-2023-0212
NM
122300000X
Dentist
DE60874699
WA
Other
Enumeration date
07/24/2018
Last updated
12/14/2023
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