Individual
DR. DALE CLINTON EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
18042 FOREST RD, FOREST, VA 24551-4057
(434) 385-6505
Mailing address
18042 FOREST RD, FOREST, VA 24551-4057
(434) 385-6505
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401006536
VA
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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