Individual
DR. EVAN TANGALOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
47059 VAN DYKE AVE, SHELBY TOWNSHIP, MI 48317-3357
(586) 991-6299
Mailing address
47059 VAN DYKE AVE, SHELBY TOWNSHIP, MI 48317-3357
(586) 991-6299
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901601696
MI
Other
Enumeration date
07/14/2023
Last updated
07/14/2023
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