Individual
CHARMAINE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
549 E 26TH ST, BROOKLYN, NY 11210-1329
(718) 703-8496
Mailing address
549 E 26TH ST, BROOKLYN, NY 11210-1329
(718) 703-8496
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
044715
NY
Other
Enumeration date
02/25/2015
Last updated
02/25/2015
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