Individual
DR. MICHAEL BRIAN EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
451 SUNCREST TOWN CENTRE DR, MORGANTOWN, WV 26505-1814
(304) 293-5831
Mailing address
440 OVERHILL ST, MORGANTOWN, WV 26505-4825
(304) 550-6005
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4282
WV
Other
Enumeration date
11/08/2017
Last updated
11/08/2017
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