Individual
DR. CHRISTOPHER A EVOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3725 ROUTE 145, DURHAM, NY 12422-5117
(518) 238-6486
Mailing address
3725 ROUTE 145, DURHAM, NY 12422-5117
(518) 238-6486
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
3258
ME
1223G0001X
General Practice Dentistry
Primary
041580
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02151251
—
NY
Enumeration date
03/12/2008
Last updated
03/12/2008
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