Individual
DR. DEREK ROBERT EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
720 S RIVER RD, SUITE C215, SAINT GEORGE, UT 84790-5507
(435) 986-9799
(435) 986-0699
Mailing address
720 S RIVER RD, SUITE C215, SAINT GEORGE, UT 84790-5507
(435) 986-9799
(435) 986-0699
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6231362-9921
UT
Other
Enumeration date
02/18/2009
Last updated
02/18/2009
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